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1 results

  • Melioidosis and the vacuum-assisted closure device: a rare cause of a discharging neck wound, and a new approach to management

  • G Garas, S Ifeacho, R Millard, N Tolley
  • Journal:
    The Journal of Laryngology & Otology / Volume 124 / Issue 9 / September 2010
    Published online by Cambridge University Press:
    11 March 2010, pp. 1021-1024
    Print publication:
    September 2010
  • 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.