Systemic Melioidosis - uncommon cause of osteomyelitis in a non-endemic region

Melioidosis being tropical disease caused by soil saprophyte Burkholderia pseudomallei. We report a case in a farmer with cardiomyopathy and diabetes mellitus developed septic arthritis and osteomyelitis. Since south India is a non-endemic region for melioidosis, atypical presentation can lead to diagnostic delay and systemic sepsis. Awareness of melioidosis in recent times as anaetiology of isolated osteomyelitis in an immune-compromised individual.