Abstract
Case:
We report a case of melioidotic septic arthritis of the ankle and secondary osteomyelitis of the talus in a 64-year-old farmer with diabetes mellitus. Arthroscopic drainage and debridement, followed by 6 months of appropriate antibiotic therapy, resulted in a good short-term outcome.
Conclusion:
Melioidotic septic arthritis of the ankle is extremely rare. This case report highlights the possibility of this disease occurring on the Indian subcontinent.
MeSH terms
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Administration, Intravenous
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Ankle
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Ankle Joint / diagnostic imaging*
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Ankle Joint / microbiology
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Ankle Joint / surgery
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Arthritis, Infectious / complications
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Arthritis, Infectious / drug therapy*
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Arthritis, Infectious / microbiology
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Arthritis, Infectious / surgery
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Arthroscopy / methods*
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Burkholderia Infections / diagnosis
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Burkholderia Infections / drug therapy
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Burkholderia Infections / microbiology
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Burkholderia Infections / surgery
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Burkholderia pseudomallei / drug effects
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Burkholderia pseudomallei / isolation & purification
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Debridement / methods
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Drainage / methods
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Humans
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India / epidemiology
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Magnetic Resonance Imaging
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Male
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Melioidosis / diagnosis
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Melioidosis / drug therapy*
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Melioidosis / microbiology
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Melioidosis / surgery
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Middle Aged
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Osteomyelitis / complications
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Synovial Fluid / microbiology
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Talus / diagnostic imaging*
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Talus / pathology
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Talus / surgery
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Treatment Outcome