Systemic Melioidosis Presenting as Acute Dacryocystitis : A Case Report
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Abstract
Purpose: To report an interesting case of acute dacryocystitis secondary to systemic melioidosis.
Methods: The author conducted a case report of acute dacryocystitis secondary to systemic melioidosis. Clinical history, presenting symptoms and signs, clinical course, and treatment outcomes of the patient were described.
Case report: A 9 year-old boy presented with high grade fever and thrombocytopenia. The preliminary diagnosis was DHF due to the clinical patterns. During the convalescent stage he still had high fever and developed a fluctuation mass at left medial lower eyelid. The diagnosis of melioidosis was based on serology study and the results of the pus culture.
Conclusion: In this rare case, the cause of acute dacryocystitis is systemic melioidosis. Therefore, physicians should be suspicious of the possibility of systemic melioidosis and if confirmed, treat early with the standard therapeutic regimen required to prevent morbidity and relapsing of this disease, particularly in the endemic areas.
Keywords: melioidosis, dacryocystitis, Burkholderio pseudomallei
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References
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