Melioidosis is caused by the environmental bacterium Burkholderia pseudomallei and may recur months after apparent cure with fatal consequences. We report a previously healthy 31-year-old man with incompletely treated bacteraemic melioidosis who presented eight months later with recurrent chest wall abscess and fulminant pneumonia progressing to ARDS and death despite aggressive treatment.
CurrieB. Melioidosis: evolving concepts in epidemiology, pathogenesis, and treatment. Semin Respir Crit Care Med2015; 36: 111–125.
2.
CoreaEMDe SilvaADThevanesamV. Melioidosis in Sri Lanka. Trop Med2018; 3: 22.
3.
CurrieBJFisherDAAnsteyNM, et al.Melioidosis: acute and chronic disease, relapse and reactivation. Trans R Soc Trop Med Hyg2000; 94: 301–304.
4.
SarovichDSWardLPriceEP, et al.Recurrent melioidosis in the Darwin prospective melioidosis study: improving therapies mean that relapse cases are now rare. Dunne WM, editor. J Clin Microbiol2014; 52: 650–653.
5.
MaharjanBChantratitaNVesaratchavestM, et al.Recurrent melioidosis in patients in Northeast Thailand is frequently due to reinfection rather than relapse. J Clin Microbiol2005; 43: 6032–6034.
