Melioidosis: An Emerging Infectious Disease as a Cause of Parotid Abscess: A Case Report MD01-MD02
Dr. Reshmi M. Nair,
Senior Consultant, Department of Ear, Nose and Throat, Rajagiri Hospital, Chunangamveli, Aluva-683112, Kerala, India.
Parotid abscess as a complication following parotitis is rare and it usually occurs due to salivary stasis, the most common organisms being isolated are Staphylococcus aureus and anaerobic bacteria. Burkholderia pseudomallei causing an isolated parotid abscess is rare in adults with very few reported cases. We present here a case of left sided parotid abscess in a diabetic female which on microbiologic evaluation turned out to be due to Burkholderia pseudomallei. She was successfully treated with a combination of injection ceftazidime six grams in three divided doses and cotrimoxazole (320mg +1600 mg) in two divided doses for initial two weeks followed by a maintenance phase with cotrimoxazole alone during the next 12 weeks.