| Summary: | In Malaysia, melioidosis is commonly encountered as this infection is known as part of the endemic area
for the disease. Managing cases of positive Burkholderia pseudomallei infection can involve
multidisciplinary unit mainly, microbiologist, infectious disease team and intensive care as it may be
quite difficult to distinguish melioidosis from a number of other diseases on the clinical setting alone.
Laboratory diagnosis plays a vital role in determining the direction of management. Investigations such
as culture, polymerase chain reaction (PCR) and serology should be evaluated once the disease is
suspected. In this particular case, the patient is a young adult involved in a road traffic accident. Unlike
any other cases with melioidosis, he had no potential risk factors which may have contributed to the
severity of the disease and it is likely that the site of the accident was the source of acquisition of this
gram negative bacterium.
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