Fatal melioidosis in an oaxacan child

Introduction: Melioidosis is a tropical disease caused by Burkholderia pseudomallei. Endemic in Southeast Asia and northern Australia. It mainly affects adults with risk factors for the disease. The data are limited to the pediatric population. Case report: 6-year-old male patient. Current condition: It is sudden on set with a fever of 39°C and 40°C, with no predominance of time, accompanied by right parietal headache. For cerebrospinal fluid results, compatible with meningeal tuberculosis, treatment for tuberculosis is initiated. With positive cerebrospinal fluid culture to Burkholderia pseudomallei, treatment for tuberculosis are suspended and Meropenem and Trimethoprim with Sulfamethoxazole are given. The patient dies the day after the specific treatment is started. Postmortem infection is confirmed by Burkholderia Pseudomallei, with a cerebrospinal culture and blood culture. Discussion: It is worth highlighting the importance of improving awareness and recognition of Melioidosis.