Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0034186 (pyelonephritis)
 6,144 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report an interesting case involving an 81-year-old male patient who presented to our hospital with sepsis secondary to pyelonephritis and bacteremia. Blood cultures were positive for a Gram-negative bacillus, Burkholderia pseudomallei. His risk factors were diabetes, chronic obstructive pulmonary disease including travel to an endemic area. The patient received antibiotic therapy in accordance with the national guidelines. This is the first report of reactivation of latent melioidosis in the literature manifesting as pyelonephritis and bacteremia.
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PMID:Reactivation of latent melioidosis presenting with acute pyelonephritis and bacteremia. 2467 68

Melioidosis is caused by the gram-negative environmental saprophyte, Burkholderia pseudomallei (B. pseudomallei). Common presentations include pneumonia, bone and joint disease, renal and soft tissue infections. However, head and neck involvement is rare. We report a jugular lymphnode abscess associated with facial percutaneous inoculation of B. pseudomallei. Hospital course was complicated by endocarditis, septic arthritis and pyelonephritis. Surgical drainage and intensive and eradicative phase of antibiotics successfully cured the disease.
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PMID:Jugular Lymphadenitis as a Precursor to Burkholderia Pseudomallei Sepsis. 3280 30