Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis

Melioidosis is an infection caused by a gram-negative bacterium, which is widely distributed in fresh surface water and soil in endemic regions. Melioidosis occurs predominantly in Southeast Asia, South Asia, northern Australia and China. Fatal melioidosis commonly occurs in individuals with specif...

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Main Authors: S. Rupasinghe, W. K. S. Kularatne
Format: Article
Language:English
Published: Sri Lanka College of Internal Medicine 2025-03-01
Series:Asian Journal of Internal Medicine
Subjects:
Online Access:https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/241
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author S. Rupasinghe
W. K. S. Kularatne
author_facet S. Rupasinghe
W. K. S. Kularatne
author_sort S. Rupasinghe
collection DOAJ
description Melioidosis is an infection caused by a gram-negative bacterium, which is widely distributed in fresh surface water and soil in endemic regions. Melioidosis occurs predominantly in Southeast Asia, South Asia, northern Australia and China. Fatal melioidosis commonly occurs in individuals with specific comorbidities including diabetes mellitus, harmful use of alcohol, chronic lung disease and chronic kidney disease. The most common acute manifestation is pneumonia. Other sites of infection include skin, soft tissue and genitourinary tract. We present a case of melioidosis in a 52-year-old farmer presenting with acalculous cholecystitis and acute pyelonephritis which was successfully treated with antibiotics.
format Article
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institution DOAJ
issn 2827-7260
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publishDate 2025-03-01
publisher Sri Lanka College of Internal Medicine
record_format Article
series Asian Journal of Internal Medicine
spelling doaj-art-a5e4c7a5312a466dbddcb7f6cf91359b2025-08-20T02:56:56ZengSri Lanka College of Internal MedicineAsian Journal of Internal Medicine2827-72602025-03-014110.4038/ajim.v4i1.241Melioidosis presenting with acalculous cholecystitis and acute pyelonephritisS. Rupasinghe0W. K. S. Kularatne1Footscray Hospital, Western Health, MelbourneNational Hospital Kandy Melioidosis is an infection caused by a gram-negative bacterium, which is widely distributed in fresh surface water and soil in endemic regions. Melioidosis occurs predominantly in Southeast Asia, South Asia, northern Australia and China. Fatal melioidosis commonly occurs in individuals with specific comorbidities including diabetes mellitus, harmful use of alcohol, chronic lung disease and chronic kidney disease. The most common acute manifestation is pneumonia. Other sites of infection include skin, soft tissue and genitourinary tract. We present a case of melioidosis in a 52-year-old farmer presenting with acalculous cholecystitis and acute pyelonephritis which was successfully treated with antibiotics. https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/241MelioidosisAcalculous cholecystitisAcute pyelonephritis
spellingShingle S. Rupasinghe
W. K. S. Kularatne
Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
Asian Journal of Internal Medicine
Melioidosis
Acalculous cholecystitis
Acute pyelonephritis
title Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
title_full Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
title_fullStr Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
title_full_unstemmed Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
title_short Melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
title_sort melioidosis presenting with acalculous cholecystitis and acute pyelonephritis
topic Melioidosis
Acalculous cholecystitis
Acute pyelonephritis
url https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/241
work_keys_str_mv AT srupasinghe melioidosispresentingwithacalculouscholecystitisandacutepyelonephritis
AT wkskularatne melioidosispresentingwithacalculouscholecystitisandacutepyelonephritis