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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
"high level"
symptom
22q11.2 deletion syndrome
aniridia
cadasil
carcinoma of the gallbladder
cohen syndrome
congenital toxoplasmosis
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentinogenesis imperfecta
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
hodgkin lymphoma, classical
inclusion body myositis
liposarcoma
lymphangioleiomyomatosis
omenn syndrome
oral submucous fibrosis
pyomyositis
scrub typhus
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
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