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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 483-484

A rare ocular presentation of melioidosis: A mimic within a mimic


Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India

Correspondence Address:
Anujeet Paul
Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, Sri Balaji Vidyapeeth
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1401_21

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Melioidosis, a multi-system infectious disease caused by Burkholderia pseudomallei, has varied clinical presentations. The ocular manifestations though rare are often either infectious or inflammatory sequelae. We present a case of a 49-year-old fisherman, an alcoholic and diabetic, who presented with fever, breathlessness, and altered sensorium. The pus and blood culture showed Burkholderia pseudomallei. Clinically, the patient deteriorated over a few days and succumbed to septicemia. The fundus evaluation at presentation showed multiple cotton wool spots concentric to the disk bilaterally. Subsequently, the patient developed a solitary Roth spot in the right eye coinciding with his clinical deterioration. The association of melioidosis with this fundus picture is presented for its rarity.


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