Cerebral melioidosis in Singapore: a review of five cases.

Abstract:

:A variety of neurological manifestations of infection with Burkholderia pseudomallei have been described including cerebral abscesses, which are a well-recognized form of neurological melioidosis. The optimal antibiotic therapy for this condition has not been defined; however, combinations of intravenous antibiotics are frequently used in the early stages. Five cases of melioidosis involving brain abscesses are described which presented in Singapore over the past 3 years (1997-2000), 4 of which cases had evidence of disseminated infection. Despite profound neurological deficits and low Glasgow Coma Scale scores at presentation in 3 of these cases, all survived after surgical drainage and prolonged courses of intravenous ceftazidime or imipenem, and only 2 of whom had residual neurological impairment. One incidental finding on computed tomography (CT) or magnetic resonance imaging (MRI) scans not described before as an association with cerebral melioidosis was sinusitis in 4 out of the 5 cases.

authors

Chadwick DR,Ang B,Sitoh YY,Lee CC

doi

10.1016/s0035-9203(02)90248-8

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

72-6

issue

1

eissn

0035-9203

issn

1878-3503

journal_volume

96

pub_type

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