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Melioidosis is an infectious disease caused by Burkholderia pseudomallei, a Gram-negative bacillus. It is endemic to southeast Asia and northern Australia as well as regions between 20° latitude north and south of the equator. The clinical manifestation varies from a latent infection with an incubation period of up to 29 years to fulminant sepsis with a high mortality rate.1 We report a case of endogenous endophthalmitis caused by B pseudomallei with a fulminant course.
A 70-year-old Chinese male veteran living in southern Taiwan had a medical history that included controlled diabetes mellitus for more than 10 years and coronary artery disease after bypass-graft surgery 2 years previously. Ocular history included herpetic keratouveitis in the right eye 4 years previously with residual corneal opacity, bilateral senile cataract, and bilateral nonproliferative diabetic retinopathy. Ocular trauma and operation history were not reported.
Yang I, Lee J, Liu J, Teng M. Melioidosis With Endophthalmitis. Arch Ophthalmol. 2006;124(10):1501–1502. doi:10.1001/archopht.124.10.1501
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