Melioidosis is an infection by Burkholderia pseudomallei, a Gram-negative rod bacterium found in soil and water. It is most common in southeast Asia, south Asia, northern Australia, and southern China.


Manifestations in the skin are seen in 10% to 25% of patients and include cutaneous pustules or subcutaneous abscesses. Diagnosis is made by culturing bodily fluids.


An infectious disease specialist should be consulted. Intensive supportive care, draining of abscesses, and intravenous antibiotic therapy is appropriate.


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