Neurological Melioidosis in Norway- presenting with a Cerebral Abscess

We present a case of neurological meliodosis, presenting with a cerebral abscess in a returning traveler from an endemic area. While travelling in Cambodia on holiday, the patient was admitted to local hospital for pneumonia. Her condition improved after antimicrobial treatment, and she returned to Norway when discharged. The patient had several contacts with the health care system after returning to Norway, due to recurrent fever and deterioration. Short term antimicrobial treatment was given with temporary improvement in her condition. Eventually she developed stroke-like symptoms, and a cerebral abscess was found. Cultures from the abscess were positive for Burkholderia pseudomallei and the treatment was adjusted accordingly.
Source: IDCases - Category: Infectious Diseases Source Type: research