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Cranial Melioidosis with Extradural Extension

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Author(s): Kushal Naha | Sowjanya Dasari | Kusugodlu Ramamoorthi | Mukhyaprana Prabhu

Journal: Australasian Medical Journal
ISSN 1836-1935

Volume: 5;
Issue: 8;
Start page: 455;
Date: 2012;
Original page

Keywords: cranial epidural abscess | melioidosis | Burkholderia pseudomallei

ABSTRACT
A 32-year-old diabetic male, with a past history of head injury and seizures, presented with a painful swelling over his forehead present for the past three months. Cranial MRI demonstrated the presence of a scalp collection with extradural extension through a bony defect. Biopsy from the area showed caseating necrosis suggestive of tuberculosis. Although the patient failed to return for initiation of anti-tubercular therapy for the next 11 months, the swelling did not progress, and there were no constitutional symptoms. The indolent nature of the swelling prompted re-evaluation and delayed cultures of pus from the collection grew Burkholderia pseudomallei.
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