Melioidosis the great mimicker of diseases - a case report.

Abstract

Melioidosis, caused by Burkholderia pseudomallei, is endemic in parts of South India and can be difficult to diagnose due to its varied clinical presentations. Lack of awareness and persistent fever despite treatment may further delay diagnosis. We report the case of a 47-year-old man with diabetes mellitus and a history of farming who presented with intermittent fever, multiple joint pains, and sepsis. During the course of illness, he developed a soft-tissue abscess. 
Melioidosis was diagnosed based on the isolation of B. pseudomallei from blood and pus cultures. The patient was successfully treated with intravenous antibiotics during the intensive phase, followed by oral antibiotics during the eradication phase. Because treatment is prolonged, patient education and adherence are essential for successful management and prevention of relapse.