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Case Reports in Infectious Diseases
Volume 2017, Article ID 6206395, 4 pages
https://doi.org/10.1155/2017/6206395
Case Report

Burkholderia Aortic Aneurysm: A Case Report and Review of the Literature

1Division of Internal Medicine, Presence Saint Francis Hospital, 355 Ridge Ave., Evanston, IL 60602, USA
2Division of Radiology, Presence Saint Francis Hospital, 355 Ridge Ave., Evanston, IL 60602, USA

Correspondence should be addressed to Sreelakshmi Panginikkod; moc.liamg@peers.rd

Received 7 May 2017; Revised 3 October 2017; Accepted 11 October 2017; Published 7 November 2017

Academic Editor: Alexandre R. Marra

Copyright © 2017 Sreelakshmi Panginikkod et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Melioidosis is a frequently fatal infection caused by the Gram-negative bacillus Burkholderia pseudomallei endemic to Southeast Asia and Northern Australia. It is a rare imported pathogen in the United States and is a potential bioterror agent. We report the case of an 82-year-old previously healthy man who presented with 2 weeks of fever and epigastric pain after he returned from the Philippines. A diagnosis of nondissecting mycotic aneurysm in the descending thoracic aorta was made with the help of CT angiogram and positive blood cultures. The patient completely recovered with a 6-month antibiotic therapy followed by surgical repair of the aneurysm. Given the slight increase in the number of melioidosis cases reported by CDC since 2008, melioidosis might be considered an emerging infectious disease in the United States. The purpose of this report is to raise awareness of the disease among clinicians as well as travelers.