SEPTICAEMIC MELIOIDOSIS IN A DIABETIC PATIENT FROM A TERTIARY CARE CENTRE IN KERALA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 43
Abstract
PRESENTATION OF CASE A 62-year-old male presented to the Medicine Department with altered sensorium with a history of fever of unknown origin of 6 weeks duration. Initially, it was low-grade, on and off fever, which later got converted into high-grade fever with chills and rigors. No h/o cough, dysuria, loose stools, vomiting or headache. No h/o any surgeries in the past, bathing in open water bodies or wound which came in contact with soil (as the patient remembers of). He was a known case of diabetes and was on oral hypoglycaemics. He consulted a doctor in a local hospital and was started on oral amoxicillin and later referred to our hospital as he was not improving. On examination, vitals were stable. He was febrile and pale. Abdominal examination revealed mild abdominal tenderness. The examinations of other systems were unremarkable.
Authors and Affiliations
Netto Jacob, Nimmy Paul, Shoba Kurian Pulikottil, Sreekumary P. K
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