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Year : 2018  |  Volume : 4  |  Issue : 4  |  Page : 229-232

Septicemic melioidosis: A forensic autopsy case report

1 Department of Forensic Medicine, National Institute of Forensic Medicine, Hospital Kuala Lumpur, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
2 Department of Medical Microbiology and Parasitology, Faculty of Medicine, Selangor, Malaysia
3 Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Faculty of Medicine, Universiti Teknologi MARA, Selangor, Malaysia

Correspondence Address:
Prof. Hapizah Mohd Nawawi
Institute of Pathology, Laboratory and Forensic Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfsm.jfsm_92_17

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We report a 27-year-old male from Kuwait who died due to melioidosis, and the diagnosis was achieved after the deceased underwent postmortem examination at the Forensic Department, Kuala Lumpur Hospital. While the disease is endemic in Southeast Asia and Northern Australia, human melioidosis infection has yet been reported in Kuwait. He was initially diagnosed as acute gastroenteritis at a private clinic before being found dead at a hotel in Kuala Lumpur. The autopsy revealed positive findings of Burkholderia pseudomallei in the deceased's brain, lung, liver, and spleen as well as in the blood and cerebrospinal fluid culture. The deceased's death highlights the importance of early accurate diagnosis, the common manifestations, and the need of effective antibiotic treatment of septicemic melioidosis in high prevalent areas.

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