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2019, Number 1

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Sal Jal 2019; 6 (1)

Melioidosis fatal en un niño oaxaqueño: reporte de caso

Coronado-García AR, López-Cruz G, Rodríguez-García J, Reyes-Gómez U, López-Días AV, Roldán-Arango YA, Merlín-Cabrera DA, Quero-Hernández A, Guerrero-Becerra M, Santos-Calderón LA, Reyes-Hernández KL

Language: Spanish
References: 21
Page: 75-79
PDF size: 274.43 Kb.


ABSTRACT

Introduction: Melioidosis is caused by Burkholderia pseudomallei. It mainly affects adults with risk factors. The data are limited in the pediatric population. Clinical case: 6-year-old male from La Carlota, municipality of San Juan Bautista Tuxtepec, Oaxaca, Mexico. He initiated with high fever and without predominance of time and attacks to the general state. In his study protocol, the Thoracic X-ray documents interstitial infiltrates and parahiliaries, integrating the diagnosis of atypical pneumonia acquired in the community. It also presented nonspecific data of meningeal involvement with lumbar puncture, without conclusive data. At 6 days after admission, it was isolated in cerebrospinal fluid culture Burkholderia pseudomallei. He was treated with: Meropenem and trimethoprim with sulfamethoxazole, he died 18 days after hospitalization. Conclusion: Melioidosis is rare in children and this systemic disease can be fatal. The clinical and laboratory diagnosis is problematic, due to the ignorance of the disease outside the endemic areas.


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