Burkholderia pseudomallei – The malicious invader causing orbital cellulitis !!!

---

Case Report

Author Details : I Karthiga*, Venipriya Sigamani, Sandhya Bhat, Harish Kumar Aravind

Volume : 9, Issue : 2, Year : 2023

Article Page : 102-104

https://doi.org/10.18231/j.ijooo.2023.021

Suggest article by email

Get Permission

---

Abstract

This case report represents an unusual presentation of Melioidosis presenting as orbital cellulitis. Orbital cellulitis is an acute infection of the eye, commonly caused by Staphylococcal, Streptococcal species and also by fungi. Here we report a case of a 57 year old male who was a diabetic and hypertensive presented with fever, protrusion of right eyeball with sudden onset of defective vision. On examination right eye visual acuity was light perception with relative afferent pupillary defect. Proptosis, chemosis and total ophthalmoplegia were present. Routine investigation revealed leucocytosis. Conjunctival swab culture was negative whereas blood culture revealed Burkholderia pseudomallei. On further work up ultrasound abdomen showed splenic abscess. Even with effective treatment with IV antibiotics patient didn’t improve and succumbed to this disease. Ocular involvement in melioidosis is rare but can lead to devastating outcomes. This case represents the highly virulent nature of this organism which rarely presents with ocular involvement as primary presentation.
 

Keywords: Orbital cellulitis, Melioidosis, Antibiotics

How to cite : Karthiga I, Sigamani V, Bhat S, Aravind H K, Burkholderia pseudomallei – The malicious invader causing orbital cellulitis !!!. IP Int J Ocul Oncol Oculoplasty 2023;9(2):102-104

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.