{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:05:44Z","timestamp":1788350744195,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,3]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Melioidosis is a protean disease which is endemic to Southeast Asia and northern Australia. Here, we report a case of infected aortic aneurysm due to <jats:italic>Burkholderia pseudomallei<\/jats:italic> in an immunocompetent man 6 months after a trip to northern Malaysia. This patient initially received inappropriate surgical and antibiotic treatment, leading to a peri-prosthetic aortic infection with lumbar spondylitis and contiguous psoas muscle abscess. This case highlights the difficulty of diagnosing melioidosis given its diverse clinical manifestations and the limits of routine microbiological methods to identify <jats:italic>B. pseudomallei<\/jats:italic>. Melioidosis should be considered a possible diagnosis in individuals with unexplained fever subsequent to travel in an endemic area.<\/jats:p>","DOI":"10.1136\/bcr-2018-228856","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T07:25:17Z","timestamp":1558596317000},"page":"e228856","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Infected aneurysm after returning from Southeast Asia: think <i>Burkholderia pseudomallei<\/i>!"],"prefix":"10.1136","volume":"12","author":[{"given":"Cl\u00e9ment","family":"Auvens","sequence":"first","affiliation":[{"name":"Infectious Diseases Department, Fran\u00e7ois Mitterrand Teaching Hospital, Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Neuwirth","sequence":"additional","affiliation":[{"name":"Laboratory of Bacteriology, Fran\u00e7ois Mitterrand Teaching Hospital, Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lionel","family":"Piroth","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, Fran\u00e7ois Mitterrand Teaching Hospital, Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Blot","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, Fran\u00e7ois Mitterrand Teaching Hospital, Dijon, France"},{"name":"Universit\u00e9 Bourgogne Franche-Comt\u00e9, INSERM, LNC UMR 1231, LipSTIC LabEx, Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,22]]},"reference":[{"key":"2025082703280012000_12.5.e228856.1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.107"},{"key":"2025082703280012000_12.5.e228856.2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000900"},{"key":"2025082703280012000_12.5.e228856.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60368-7"},{"issue":"Suppl 3","key":"2025082703280012000_12.5.e228856.4","doi-asserted-by":"crossref","first-page":"e381","DOI":"10.1016\/j.ijid.2009.07.008","article-title":"Mycotic iliac aneurysm associated with Burkholderia pseudomallei","volume":"14","author":"Amezyane","year":"2010","journal-title":"Int J Infect Dis"},{"key":"2025082703280012000_12.5.e228856.5","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.ijcard.2015.04.013","article-title":"Intracoronary blood sampling with a microcatheter for the diagnosis of giant infective coronary aneurysm: Melioidosis of coronary artery mycotic aneurysm","volume":"187","author":"Yew","year":"2015","journal-title":"Int J Cardiol"},{"key":"2025082703280012000_12.5.e228856.6","doi-asserted-by":"publisher","DOI":"10.1086\/426590"},{"key":"2025082703280012000_12.5.e228856.7","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01636-16"},{"key":"2025082703280012000_12.5.e228856.8","first-page":"1","article-title":"Burkholderia Aortic Aneurysm: A Case Report and Review of the Literature","volume":"2017","author":"Panginikkod","year":"2017","journal-title":"Case Rep Infect Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228856","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:28:08Z","timestamp":1756290488000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228856"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":8,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,22]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/bcr-2018-228856"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228856","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}