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Musculoskeletal melioidosis.
[pyomyositis]
Melioidosis
is
an
infectious
disease
caused
by
Burkholderia
pseudomallei
,
mostly
affecting
patients
in
Southeast
Asia
and
northern
Australia
.
The
disease
has
been
increasingly
recognized
around
the
world
due
to
the
increased
levels
of
travel
and
population
movement
.
Clinical
manifestations
of
melioidosis
range
from
fulminant
septicemic
illness
to
an
indolent
local
infection
.
The
disease
often
involves
multiple
organs
,
including
the
lung
,
spleen
,
liver
,
and
other
visceral
organs
.
Musculoskeletal
infection
is
usually
seen
as
a
part
of
multiorgan
involvement
,
but
localized
musculoskeletal
involvement
may
occur
.
The
most
common
manifestation
of
musculoskeletal
melioidosis
is
septic
arthritis
,
followed
by
osteomyelitis
,
pyomyositis
,
and
soft
tissue
abscesses
.
The
clinical
and
radiological
manifestations
of
musculoskeletal
melioidosis
are
nonspecific
,
and
the
diagnosis
needs
a
high
level
of
suspicion
.
Associated
infection
of
lungs
and
visceral
organs
is
suggestive
of
melioidosis
.
The
disease
requires
special
laboratory
facilities
and
treatment
.
Inappropriate
or
inadequate
treatment
leads
to
high
mortality
rate
or
long
-term
relapse
of
the
disease
.
The
causative
organism
of
melioidosis
,
clinical
manifestations
,
and
imaging
features
of
musculoskeletal
melioidosis
are
reviewed
.
Diseases
Validation
Diseases presenting
"soft tissue abscesses"
symptom
pyomyositis
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