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Osteomyelitic changes were detected in the right mandibular condyle, temporal bone and in the temporomandibular joint. Melioidosis was suspected due to this unique clinical presentation of an abscess at an unusual and atypical site. Blood cultures identified the Gram-negative bacilli <jats:italic>Burkholderia pseudomallei<\/jats:italic>, which established the diagnosis of Melioidosis<jats:italic>.<\/jats:italic> Remarkable improvement was attained with antibiotics meropenem and cotrimoxazole, deferring the need for any surgical intervention.<\/jats:p>","DOI":"10.1136\/bcr-2015-213060","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T06:17:39Z","timestamp":1448950659000},"page":"bcr2015213060","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["An intriguing case of locked jaw secondary to melioidosis"],"prefix":"10.1136","volume":"2015","author":[{"given":"Tejasvini","family":"Vaid","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karthik","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Handattu Manjunath","family":"Hande","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1128\/CMR.4.1.52","article-title":"Melioidosis: the tip of the iceberg?","volume":"4","author":"Dance","year":"1991","journal-title":"Clin Microbiol Rev"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-706X(99)00059-5"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.3","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.18.2.383-416.2005"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000900"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2006.03.022"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.6","doi-asserted-by":"publisher","DOI":"10.3171\/2013.5.JNS12555"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-706X(99)00064-9"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.8","first-page":"856","article-title":"Neurological manifestations of melioidosis in children","volume":"29","author":"Saipan","year":"1998","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(02)90248-8"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1995.tb00396.x"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.11","doi-asserted-by":"publisher","DOI":"10.1159\/000185081"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.12","doi-asserted-by":"publisher","DOI":"10.1002\/hep.1840060217"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.1993.tb08659.x"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.14","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.42.6.645"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(89)90768-X"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.16","doi-asserted-by":"publisher","DOI":"10.1086\/520219"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.17","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-8579(99)00071-0"},{"key":"2025082703071519000_2015.dec01_1.bcr2015213060.18","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.48.5.1763-1765.2004"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:07:27Z","timestamp":1756289247000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,1]]},"references-count":18,"alternative-id":["10.1136\/bcr-2015-213060"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213060","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,12,1]]}}}