RECURRENT SUPPURATIVE DACROCYSTITIS SECONDARY TO MELIODOSIS

Abstract

ABSTRACT

Background: We are here to report a rare case of acute suppurative dacryocystitis secondary to Burkholderia pseudomallei.

Materials and Methods: A case report

Result: A 70-year-old Malay women presented with recurrent episode of suppurative dacryocystitis that were resistant to oral and topical antibiotics. Culture and sensitivity swab from the fistula track yield Burkholderia pseudomallei. Patient was started on intravenous ceftazidime and topical ceftazidime 5% for two weeks and a course of oral trimethoprim/sulfamethoxazole for 6 weeks.

Conclusion: Burkholderia pseudomallei should be consider as a rare cause for acute suppurative dacryocystitis in South East Asia region. Systemic investigation and imaging is important to look for deep seated abscess in various organ.

Keywords: Meliodosis, dacryocystitis, Burkholderia pseudomallei