Cutaneous melioidosis with unusual histological features. (24th August 2015)

• Record Type: Journal Article
• Authors: Yeo, B.; Lee, J.; Alagappan, U.; Pan, J. Y.
• Is Part Of: Clinical and experimental dermatology. Volume 41:Number 3(2016)
• Page Start: 272
• Page End: 274
• Publication Date: 2015-08-24
• Subjects: Skin -- Diseases -- Periodicals; 616.5
• DOI: 10.1111/ced.12726
• Languages: English
• ISSNs: 0307-6938

Abstract

Summary: Melioidosis is caused by the saprophytic gram‐negative bacillus Burkholderia pseudomallei, and has varied presentations, with cutaneous manifestations occurring in about 13% of cases. The usual histopathological features of melioidosis are suppurative to chronic granulomatous inflammation. Recommended treatment of melioidosis is sequential use of intravenous followed by oral antibiotics for a few months, although oral antibiotics alone can be used in primary cutaneous melioidosis. We report a case of cutaneous melioidosis in a healthy young man, with the unusual histopathological feature of lymphoplasmacytic inflammation, and failing an initial trial of oral antibiotics alone.