| Melioidosis and the vacuum-assisted closure device: a rare cause of a discharging neck wound, and a new approach to management. | |
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MedLine Citation:
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PMID: 20219147 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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G Garas; S Ifeacho; R Millard; N Tolley |
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Publication Detail:
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Type: Journal Article Date: 2010-03-11 |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: 124 ISSN: 1748-5460 ISO Abbreviation: J Laryngol Otol Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: England |
Other Details:
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Languages: eng Pagination: 1021-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Otorhinolaryngology and Head and Neck Surgery, St Mary's Hospital, London, UK. garas_george@yahoo.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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