{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:56Z","timestamp":1787776316781,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>\n                    Melioidosis, an infectious disease caused by\n                    <jats:italic toggle=\"yes\">Burkholderia pseudomallei<\/jats:italic>\n                    , is an important cause of sepsis in tropical areas of Eastern Asia, mainly affecting immunocompromised adults. Diabetes mellitus is the most important host risk factor. Here, the authors report a case of a 54-year-old Saudi male with uncontrolled diabetes mellitus for 10 years who presented to our hospital with a 6-week history of fever, cough, night sweats and weight loss. The patient was a frequent traveler to the Philippines, with his last visit being during the rainy season 2 weeks before the onset of symptoms. Definite diagnosis of melioidosis was not made because of insufficient facility to culture the organism in our laboratory; nevertheless, a diagnosis of melioidosis was made based on the cumulative clinical scenario. The patient was discharged on trimethoprim\u2013sulfamethoxazole and doxycycline for 3 months and showed significant improvement at follow-up. For prompt diagnosis and treatment, clinicians must maintain a high index of suspicion for melioidosis in febrile patients with a history of traveling to endemic areas, especially diabetic patients.\n                  <\/jats:p>","DOI":"10.4103\/sjmms.sjmms_118_16","type":"journal-article","created":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T09:06:37Z","timestamp":1523869597000},"page":"108-111","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Melioidosis: Can Tropical Infections Present in Nonendemic Areas? A Case Report and Review of the Literature"],"prefix":"10.4103","volume":"6","author":[{"given":"Sara M.","family":"Alwarthan","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A.","family":"Aldajani","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim M.","family":"Al Zahrani","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huda A.","family":"Bukhari","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"R1-20250523","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1016\/S0140-6736(03)13374-0","article-title":"Melioidosis","volume":"361","author":"White","year":"2003","journal-title":"Lancet"},{"key":"R2-20250523","first-page":"2763","article-title":"Melioidosis: A review","volume":"14","author":"Foong","year":"2014","journal-title":"Rural Remote Health"},{"key":"R4-20250523","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1056\/NEJMra1204699","article-title":"Medical progress: Melioidosis","volume":"367","author":"Wiersinga","year":"2012","journal-title":"N Engl J Med"},{"key":"R5-20250523","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0001-706X(99)00059-5","article-title":"Melioidosis as an emerging global problem","volume":"74","author":"Dance","year":"2000","journal-title":"Acta Trop"},{"key":"R6-20250523","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4103\/1658-631X.178286","article-title":"Melioidosis: Spectrum of radiological manifestations","volume":"4","author":"Alsaif","year":"2016","journal-title":"Saudi J Med Med Sci"},{"key":"R7-20250523","first-page":"322","article-title":"Activity of Imipenem against multiresistant gram-negative bacilli isolated from Riyadh Hospitals","volume":"17","author":"Shibl","year":"1996","journal-title":"Saudi Med J"},{"key":"R8-20250523","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1023\/A:1005855318665","article-title":"Bacterial identity and characteristics in healthy and unhealthy respiratory tracts of sheep and calves","volume":"21","author":"Barbour","year":"1997","journal-title":"Vet Res Commun"},{"key":"R9-20250523","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1016\/j.trstmh.2005.10.004","article-title":"Six cases of suppurative lymphadenitis caused by Burkholderia pseudomallei infection","volume":"100","author":"Chlebicki","year":"2006","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"R10-20250523","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/(SICI)1097-0096(199901)27:1<29::AID-JCU5>3.0.CO;2-C","article-title":"Visceral organ abscesses in melioidosis: Sonographic findings","volume":"27","author":"Wibulpolprasert","year":"1999","journal-title":"J Clin Ultrasound"},{"key":"R11-20250523","first-page":"254","article-title":"Non-septicemic Burkholderia pseudomallei liver abscess in a young man","volume":"37","author":"Ben","year":"2004","journal-title":"J Microbiol Immunol Infect"},{"key":"R12-20250523","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/01.qco.0000244046.31135.b3","article-title":"Melioidosis","volume":"19","author":"Peacock","year":"2006","journal-title":"Curr Opin Infect Dis"},{"key":"R13-20250523","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1016\/0035-9203(92)90191-E","article-title":"Septicaemic melioidosis: A review of 50 cases from Malaysia","volume":"86","author":"Puthucheary","year":"1992","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"R14-20250523","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1093\/clinids\/11.3.413","article-title":"Melioidosis: Review and update","volume":"11","author":"Leelarasamee","year":"1989","journal-title":"Rev Infect Dis"}],"container-title":["Saudi Journal of Medicine &amp; Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01797456-201806020-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:05:05Z","timestamp":1787774705000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01797456-201806020-00010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,16]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/sjmms.sjmms_118_16","relation":{},"ISSN":["1658-631X","2321-4856"],"issn-type":[{"value":"1658-631X","type":"print"},{"value":"2321-4856","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,16]]}}}