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Title: Disseminated melioidosis in the head and neck.
Authors: Loh, Tze Ling
Latis, Sergios
Crossland, Graeme
Patel, Hemi
Citation: BMJ case reports 2017-01-17; 2017
Abstract: A 35-year-old man was admitted to an intensive care unit with unilateral facial swelling and septic shock after multiple presentations to the emergency department with non-specific unilateral pain over the parotid area. A CT scan of his neck showed diffuse right-sided facial soft tissue infection, mastoid effusion and temporal lobe cerebritis. The upper lobes of his lungs had cannonball lesions that were suggestive of septic lung metastases. Blood cultures and ear canal swabs were positive for Burkholderia pseudomallei The temporal lobe cerebritis eventually developed into an abscess, necessitating a cortical mastoidectomy, craniectomy and temporal lobectomy. After the surgical interventions, antibiotic therapy was continued for a further 6 months. The patient remained well and had no signs of recurrence up to 7 months after the initial presentation.
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Journal title: BMJ case reports
Publication Date: 2017-01-17
Type: Case Reports
Journal Article
DOI: 10.1136/bcr-2016-218606
Appears in Collections:(a) NT Health Research Collection

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