HYBRID EVENT: You can participate in person at Paris, France or Virtually from your home or work.

6th Edition of World Congress on Infectious Diseases

June 24-26, 2024 | Paris, France

June 24 -26, 2024 | Paris, France
Infection 2024

Karen Ivy Bacsain

Speaker at Infection Conferences - Karen Ivy Bacsain
Universidad de Santa Isabel Health Services, Philippines
Title : Pulmonary manifestations of chronic melioidosis in a patient with Type 2 Diabetes Mellitus: A case report


Background: The Philippines, being a tropical country, makes for an interesting reservoir for diverse bacterial flora. One such pathogen is the Burkholderia pseudomallei, a Gram-negative pathogen, found in moist soil and rainwater. Cases increase during the monsoon rains, which occur bi-annually from June to September as well as November to February. Highly susceptible are patients with Type 2 Diabetes Mellitus who are already affected by the presence of chronic inflammation and immune dysfunction.

Objective: To present a case of melioidosis presenting with a two-month history of intermittent episodes of fever associated with generalized body weakness, and chills.

Case: A 55-year-old Filipino female with poorly controlled Type 2 Diabetes Mellitus was admitted in severe cardiorespiratory distress and placed on high flow nasal cannula. Patient was RT-PCR negative and was initially started on Meropenem. Blood Culture and Sensitivity results came out positive for Burkholderia pseudomallei. Meropenem was completed for 7 days. Patient was also started on Ceftazidime, thereafter, the patient gradually improved and was discharged.

Conclusion: Melioidosis is a lesser diagnosed disease entity in the Philippines. Despite advances in antibiotics, it may still be a formidable disease as it is still associated with significant mortality due to sepsis and difficulty of diagnosis.


Dr. Karen Ivy Bacsain is a graduate of the University of Santo Tomas Faculty of Medicine and Surgery, Class 2019. She had her post-graduate internship in 2019-2020 in the Manila Doctors Hospital. She is currently in her third year of residency training in the Universidad de Santa Isabel – Health Services, Naga City.