Diabetic Ketoacidosis and Melioidosis in a Child
OUYPORN PANAMONTA, M.D.*, PAKAKRONG LUMBIGANON, M.D.*
Affiliation : * Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. t Presented in Asia Pacific Pediatric Endocrinology Workshop, Sydney, Australia 27-30 March, 1996.
Abstract 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. Abdo- minal ultrasonography showed multiple splenic and liver abscesses, melioidosis was suspected. Hemoculture and pus culture yielded Burkholderia pseudomallei which was susceptible to cef- tazidime 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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