DR.I KARTHIGA

DR. VENI PRIYA SIGAMANI

Abstract

This case report represents an unusual presentation of Melioidosis presenting as orbital cellulitis .Orbital cellulitis is commonly caused by Staphylococcal , Streptococcal species also fungi and mycobacteria . Here we report a case of a 57 year old male ,diabetic and hypertensive presented with fever , protrusion of right eyeball with sudden onset of defective vision. On examination right eye was perceptive to light with relative afferent pupillary defect , proptosis , chemosis and total ophthalmoplegia . Eye swab culture was negative whereas blood culture revealed Burkholderia pseudomallei.On further work up ultrasound abdomen showed splenic abscess. Even with effective treatment with IV antibiotics patient didn’t improve and succumbed to this disease. Ocular involvement in melioidosis is rare but can lead to devastating outcomes. This case represents the highly virulent nature of this organism which rarely presents with ocular involvement as primary presentation.