First case report of melioidosis in Jammu and Kashmir, India: A rare presentation

This is the first case of melioidosis presenting as acute osteomyelitis with septic shock in Jammu and Kashmir, India. A 53-year-old policeman presented with cough and fever for 1 month, along with purulent discharge from the right tibia for 15 days. He was diagnosed as type 2 diabetes mellitus (1 st time) with glycated hemoglobin 14.3% with septic shock and multiple organ dysfunction syndrome. Burkholderia pseudomallei grew from pus and blood culture. The patient was treated for 6 weeks with meropenem and later ceftazidime after stabilization. He was discharged in stable condition and advised strict follow-up to complete the eradication phase with oral cotrimoxazole.