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Neurological melioidosis complicated by cerebral venous sinus thrombosis

Authors:

P. K. Abeysundara ,

Colombo North Teaching Hospital, LK
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University Medical Unit
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A. A. N. Nishad,

Batticaloa Teaching Hospital, LK
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W. N. M. Perera,

Colombo North Teaching Hospital, LK
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University Medical Unit
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H. De Silva,

Colombo North Teaching Hospital, LK
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University Medical Unit
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R. Piyarathne,

Colombo North Teaching Hospital, LK
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University Medical Unit
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R. M. P. M. Rathnayaka,

Colombo North Teaching Hospital, LK
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Radiology Department
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K. Arulmoly,

Batticaloa Teaching Hospital, LK
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M. Umakanth,

Batticaloa Teaching Hospital, LK
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R. Premaratna,

Colombo North Teaching Hospital, LK
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University Medical Unit
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Y. Tilakaratne

Colombo North Teaching Hospital, LK
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University Medical Unit
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Abstract

Melioidosis is a systemic disease endemic in Southeast Asia and Northern Australia. The spectrum of the disease varies from asymptomatic infection to severe systemic manifestations. Timely diagnosis and treatment of melioidosis is a challenge due to its atypical presentations. We report a case of melioidosis causing cerebral abscesses and cerebral venous sinus thrombosis. Occurrence of these neurological manifestations in melioidosis is rare and it is a difficult condition to diagnose and treat. Timely diagnosis was a challenge in this patient due to the atypical presentation and the use of empirical antibiotics in the primary care setting. Limited laboratory diagnostic capability also contributed to this delay.
How to Cite: Abeysundara, P.K., Nishad, A.A.N., Perera, W.N.M., De Silva, H., Piyarathne, R., Rathnayaka, R.M.P.M., Arulmoly, K., Umakanth, M., Premaratna, R. and Tilakaratne, Y., 2020. Neurological melioidosis complicated by cerebral venous sinus thrombosis. Journal of the Ceylon College of Physicians, 51(2), pp.132–135. DOI: http://doi.org/10.4038/jccp.v51i2.7907
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Published on 14 Dec 2020.
Peer Reviewed

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