Melioidosis in a child with nephrotic syndrome

Melioidosis, caused by Burkholderia pseudomallei , presents with a wide range of clinical manifestations. We report the case of an 8-year-old boy with nephrotic syndrome in remission, presenting with high-grade fever and painful limb swellings. Initial investigations revealed mild leukocytosis, thrombocytosis, and Pseudomonas aeruginosa in urine culture. Despite treatment, fever persisted until blood cultures identified B . pseudomallei . Antibiotics were upgraded to meropenem and doxycycline. Following abscess drainage and adjusted therapy, the patient stabilized. This case highlights the importance of considering melioidosis in pediatric patients with persistent fever and abscesses in endemic areas.