%0 Journal Article
%T Cranial Melioidosis with Extradural Extension
%A Kushal Naha
%A Sowjanya Dasari
%A Kusugodlu Ramamoorthi
%A Mukhyaprana Prabhu
%J Australasian Medical Journal
%D 2012
%I The Australasian Medical Journal pty ltd.
%X A 32-year-old diabetic male, with a past history of head injury and seizures, presented with a painful swelling over his forehead present for the past three months. Cranial MRI demonstrated the presence of a scalp collection with extradural extension through a bony defect. Biopsy from the area showed caseating necrosis suggestive of tuberculosis. Although the patient failed to return for initiation of anti-tubercular therapy for the next 11 months, the swelling did not progress, and there were no constitutional symptoms. The indolent nature of the swelling prompted re-evaluation and delayed cultures of pus from the collection grew Burkholderia pseudomallei.
%K cranial epidural abscess
%K melioidosis
%K Burkholderia pseudomallei
%U http://www.amj.net.au/index.php?journal=AMJ&page=article&op=viewFile&path%5B%5D=1374&path%5B%5D=966