Aug 2026· Journal of Health & Biological Sciences· 0 citations
TL;DR
A 61-year-old male farmer from Itaiçaba, Ceará, Brazil, with type 2 diabetes mellitus, who presented with prolonged fever, abdominal pain, and weight loss is reported, highlighting an atypical disseminated presentation and reinforces clinical suspicion of melioidosis in diabetic patients with visceral abscesses in endemic regions.
Abstract
Melioidosis, caused by Burkholderia pseudomallei, is an emerging tropical infectious disease. We report a 61-year-old male farmer from Itaiçaba, Ceará, Brazil, with type 2 diabetes mellitus, who presented with prolonged fever, abdominal pain, and weight loss. Imaging showed a multiloculated hepatic abscess, followed by splenic and prostatic abscesses, without pulmonary involvement. Blood and urine cultures isolated B. pseudomallei. The patient received intravenous meropenem followed by oral trimethoprim-sulfamethoxazole for six months, with a favourable outcome. This case highlights an atypical disseminated presentation and reinforces clinical suspicion of melioidosis in diabetic patients with visceral abscesses in endemic regions.
Clinicians should consider chronic melioidosis in patients with pneumonia and parapneumonic pleural effusion accompanied by splenic abscesses, particularly in patients with diabetes mellitus from endemic areas, particularly in patients with diabetes mellitus from endemic areas.
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