Cerebral melioidosis for the first time in the western hemisphere

This report is the first published case of cerebral melioidosis in the western hemisphere. In this paper the authors review the literature on neurological melioidosis and its presentation and treatment in endemic areas, describe the clinical course of this unique case of a presentation of the diseas...

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Bibliographic Details
Published inJournal of neurosurgery Vol. 119; no. 6; p. 1591
Main Authors Vestal, Matthew L, Wong, Emily B, Milner, Jr, Dan A, Gormley, William B, Dunn, Ian F
Format Journal Article
LanguageEnglish
Published United States 01.12.2013
Subjects
Abscess - etiology
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - pharmacology
Burkholderia pseudomallei - pathogenicity
Cambodia
Humans
Male
Melioidosis - complications
Melioidosis - drug therapy
Melioidosis - epidemiology
Melioidosis - pathology
Meropenem
Middle Aged
Skull - pathology
Thienamycins - administration & dosage
Thienamycins - pharmacology
United States
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Summary:This report is the first published case of cerebral melioidosis in the western hemisphere. In this paper the authors review the literature on neurological melioidosis and its presentation and treatment in endemic areas, describe the clinical course of this unique case of a presentation of the disease with cranial abscess in the US, review the pathological and radiological findings associated with this seminal case, and put forth recommendations for recognizing and treating possible future instances of the disease within the western hemisphere.
ISSN:1933-0693
DOI:10.3171/2013.5.jns12555