A Case of Fever of Unknown Origin -? Melioidosis Presenting as Severe Sepsis and Multiple Organ Dysfunction Syndrome

Sharon Wilson; Tintu Thomas; Dr. Elizabeth James; Aromal Kannan Madhu

doi:10.36948/ijfmr.2024.v06i06.30592

A Case of Fever of Unknown Origin -? Melioidosis Presenting as Severe Sepsis and Multiple Organ Dysfunction Syndrome

Author(s)	Sharon Wilson, Tintu Thomas, Dr. Elizabeth James, Aromal Kannan Madhu
Country	India
Abstract	Melioidosis is an emerging infection in India1, well known for its protean clinical manifestations. We report a case of probable disseminated Melioidosis with hyperferritinemic septic shock and multi organ dysfunction syndrome. She presented as a case of PUO- with high fever- 1week, loose stools, headache and shortness of breath, to our hospital. She had a turbulent course in hospital, with fever not responding despite 2 weeks of hospitalization. Her respiratory system showed bilateral crackles. Per Abdomen examination revealed tenderness in right iliac fossa, suprapubic region and left iliac fossa, bowel sounds were sluggish. CECT chest and Abdomen showed right basal pneumonia, hydro-ureteronephrosis, with ureter showing narrowing at the region of right adnexa, PID, subcentrimetric , mesentric , and perirectal lymph nodes; rectal wall showing inflammatory changes with inflammation of mesorectal fascia . She responded well and fully recovered with injection Meropenem for 8 weeks; followed by oral Trimethoprim-Sulfamethoxazole for 3 months.
Keywords	Pyrexia of Unknown Origin, Multiple abscesses, Septic shock, MODS, Burkholderia
Field	Medical / Pharmacy
Published In	Volume 6, Issue 6, November-December 2024
Published On	2024-11-15
Cite This	A Case of Fever of Unknown Origin -? Melioidosis Presenting as Severe Sepsis and Multiple Organ Dysfunction Syndrome - Sharon Wilson, Tintu Thomas, Dr. Elizabeth James, Aromal Kannan Madhu - IJFMR Volume 6, Issue 6, November-December 2024. DOI 10.36948/ijfmr.2024.v06i06.30592
DOI	https://doi.org/10.36948/ijfmr.2024.v06i06.30592
Short DOI	https://doi.org/g8rd3n

View / Download PDF File

E-ISSN 2582-2160

doi

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads

Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 6 Isu 6 Cover Page Vol 6 Isu 5 Cover Page Vol 6 Isu 4

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9898-5948-55	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

A Case of Fever of Unknown Origin -? Melioidosis Presenting as Severe Sepsis and Multiple Organ Dysfunction Syndrome

Share this