{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T21:22:48Z","timestamp":1789939368773,"version":"4.0.1"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2010,3,11]],"date-time":"2010-03-11T00:00:00Z","timestamp":1268265600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215110000381_sec1\"><jats:title>Objective:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110000381_sec2\"><jats:title>Method:<\/jats:title><jats:p>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 \u2018melioidosis\u2019, \u2018<jats:italic>Burkholderia pseudomallei<\/jats:italic>\u2019 and \u2018vacuum-assisted closure device\u2019.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110000381_sec3\"><jats:title>Results:<\/jats:title><jats:p>Microbiological analysis identified the causative organism as being the bacterium<jats:italic>Burkholderia pseudomallei<\/jats:italic>, 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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110000381_sec4\"><jats:title>Conclusions:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215110000381","type":"journal-article","created":{"date-parts":[[2010,3,11]],"date-time":"2010-03-11T09:32:53Z","timestamp":1268299973000},"page":"1021-1024","source":"Crossref","is-referenced-by-count":11,"title":["Melioidosis and the vacuum-assisted closure device: a rare cause of a discharging neck wound, and a new approach to 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