Document Detail

Melioidosis and the vacuum-assisted closure device: a rare cause of a discharging neck wound, and a new approach to management.
MedLine Citation:
PMID:  20219147     Owner:  NLM     Status:  In-Process    
OBJECTIVE: We report a case of melioidosis presenting as a discharging neck abscess, and we describe the use of a vacuum-assisted closure device in its management.
METHOD: We report the case of a 44-year-old, Afro-Caribbean woman with melioidosis. We also present the results of a literature search using the search terms 'melioidosis', 'Burkholderia pseudomallei' and 'vacuum-assisted closure device'.
RESULTS: Microbiological analysis identified the causative organism as being the bacterium Burkholderia pseudomallei, and its antimicrobial sensitivities to imipenem and ciprofloxacin. A vacuum-assisted closure device was used to manage the patient's melioidosis of the neck; we believe this is the first report of such treatment.
CONCLUSIONS: Melioidosis is rare in the UK and western world; however, exposure can occur during travel to endemic areas. We therefore draw attention to this infection as part of the differential diagnosis of a neck abscess. We propose the use of vacuum-assisted closure devices as useful adjuncts to the management of discharging neck wounds.
G Garas; S Ifeacho; R Millard; N Tolley
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Publication Detail:
Type:  Journal Article     Date:  2010-03-11
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1021-4     Citation Subset:  AIM; IM    
Department of Otorhinolaryngology and Head and Neck Surgery, St Mary's Hospital, London, UK.
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