Cutaneous Melioidosis Presenting as a Red Nasal Plaque: A Case Report
Issued Date
2025-01-01
Resource Type
eISSN
11786973
Scopus ID
2-s2.0-105012027911
Journal Title
Infection and Drug Resistance
Volume
18
Start Page
3779
End Page
3783
Rights Holder(s)
SCOPUS
Bibliographic Citation
Infection and Drug Resistance Vol.18 (2025) , 3779-3783
Suggested Citation
Huang S., Santanirand P., Chairanaicharoen S., Rattananukrom T. Cutaneous Melioidosis Presenting as a Red Nasal Plaque: A Case Report. Infection and Drug Resistance Vol.18 (2025) , 3779-3783. 3783. doi:10.2147/IDR.S524877 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111552
Title
Cutaneous Melioidosis Presenting as a Red Nasal Plaque: A Case Report
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Corresponding Author(s)
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Abstract
Background: Melioidosis, caused by Burkholderia pseudomallei, is endemic to tropical regions. Cutaneous forms, often presenting as non-healing ulcers, are rare and may mimic other skin diseases. Recognizing risk factors is key to prompt diagnosis and treatment. Case Presentation: We report the case of a 51-year-old female with a 2-month history of chronic erythematous plaques on her nose. Aerobic tissue culture confirmed the diagnosis of primary cutaneous melioidosis by identifying B. pseudomallei. There was no evidence of systemic involvement, and blood culture results were negative. The patient was successfully treated with oral sulfamethoxazole-trimethoprim monotherapy. After three months of treatment, the lesion resolved completely, leaving an atrophic scar. At the eight-month follow-up, there was no evidence of recurrence. Conclusion: This case illustrates an atypical presentation of cutaneous melioidosis without systemic involvement, which was effectively treated with oral sulfamethoxazole-trimethoprim monotherapy. A comprehensive evaluation to exclude dissemination is critical for ensuring successful treatment outcomes.