RECURRENT SUPPURATIVE DACROCYSTITIS SECONDARY TO MELIODOSIS

ABSTRACT Background: We are here to report a rare case of acute suppurative dacryocystitis secondary to Burkholderia pseudomallei. Materials and Methods: A case report Result: A 70-year-old Malay women presented with recurrent episode of suppurative dacryocystitis that were resistant to oral and topical antibiotics. Culture and sensitivity swab from the fistula track yield Burkholderia pseudomallei . Patient was started on intravenous ceftazidime and topical ceftazidime 5% for two weeks and a course of oral trimethoprim/sulfamethoxazole for 6 weeks. Conclusion: Burkholderia pseudomallei should be consider as a rare cause for acute suppurative dacryocystitis in South East Asia region. Systemic investigation and imaging is important to look for deep seated abscess in various organ. Keywords: Meliodosis, dacryocystitis, Burkholderia pseudomallei