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Title: Paraplegia secondary to Burkholderia pseudomallei myelitis: a case report.
Authors: Haran MJ
Jenney AW
Keenan RJ
Flavell HD
Anstey NM
Currie BJ
Citation: Archives of physical medicine and rehabilitation 2001-11; 82(11): 1630-2
Abstract: Bacterial infection is an uncommon cause of acute paraplegia. A 42-year-old Aboriginal man presented to a remote health clinic in northern Australia with myelitis associated with Burkholderia pseudomallei. He was treated with analgesia and intravenous flucloxacillin, ceftriaxone, and gentamicin and transferred to our hospital, where an urgent T12-L1 laminectomy and decompression was performed. Urine culture confirmed B. pseudomallei infection (melioidosis). Abdominopelvic computed tomography revealed left prostatic lobe and right periprostatic abscesses, which were managed conservatively. The patient was given intravenous ceftazidime (8g/d) for 2 months, followed by oral sulfamethoxazole (1600mg) and trimethoprim (320mg) twice daily for 8 weeks. Magnetic resonance imaging 3 weeks after his admission confirmed transverse myelitis. His rehabilitation was complicated by his difficulty in adjusting to disability, by urinary retention and fecal incontinence, by communication barriers, and his isolation from a culture familiar to him. He returned to his community after 15 weeks, free of infection, with T10-11 paraplegia and an indwelling catheter.
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Journal title: Archives of physical medicine and rehabilitation
Publication Date: 2001-11
ISSN: 0003-9993
Type: Case Reports
Journal Article
Appears in Collections:(a) NT Health Research Collection

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