Abstract

THERAN-LEON, JUAN SEBASTIÁN et al. Whitmore's disease in a diabetic patient. Acta Med Colomb [online]. 2022, vol.47, n.3, pp.1-.  Epub Apr 24, 2023. ISSN 0120-2448.  https://doi.org/10.36104/amc.2022.2319.

Burkholderia pseudomallei is a pathogen found in tropical climates. Clinically, it manifests with a wide variety of nonspecific symptoms. We present the case of a 64-year-old male patient with a his tory of controlled type 2 diabetes mellitus, stage IIIB chronic kidney disease and tuberculosis treated in 2015, who had a prolonged febrile syndrome and chest pain with ischemic electrocardiographic changes. He underwent arteriography which revealed multivessel coronary disease with an indication for open surgical treatment. On his presurgical laboratory tests a chest tomography showed an upper right mediastinal mass, and therefore his procedure was postponed. The mass was studied on an out patient basis with a negative biopsy for malignancy and microorganisms. He subsequently developed asthenia and adynamia over four months, at which time B.pseudomallei was isolated in blood cultures. He was successfully treated with a carbapenem for 15 days and is now receiving maintenance treat ment with no complications. (Acta Med Colomb 2022; 47. DOI:https://doi.org/10.36104/amc.2022.2319).

Keywords : melioidosis; Burkholderia pseudomallei; diabetes.

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