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Case ReportOpen Access
Diabetic Ketoacidosis and Melioidosis in a Child
Panamonta O 
,
Lumbiganon P
,
Lumbiganon P A case of 5 year old diabetic girl with melioidosis was reported. She presented with the
symptoms and signs of intraabdominal infection, septicemia and diabetic ketoacidosis. Abdominal
ultrasonography showed multiple splenic and liver abscesses, melioidosis was suspected.
Hemoculture and pus culture yielded Burkholderia pseudomallei which was susceptible to ceftazidime
and cotrimoxazole. Correction of fluid and electrolyte combined with insulin therapy and
proper antibiotics resulted in a good outcome in this patient.
symptoms and signs of intraabdominal infection, septicemia and diabetic ketoacidosis. Abdominal
ultrasonography showed multiple splenic and liver abscesses, melioidosis was suspected.
Hemoculture and pus culture yielded Burkholderia pseudomallei which was susceptible to ceftazidime
and cotrimoxazole. Correction of fluid and electrolyte combined with insulin therapy and
proper antibiotics resulted in a good outcome in this patient.
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