Tibial Osteomyelitis due to Burkholderia pseudomallei in a Non-diabetic Patient: A Case Report

Introduction: Melioidosis, a potentially fatal infectious human disease labeled "silent killer disease," caused by Burkholderia pseudomallei, is an environmental Gram-negative bacillus endemic to tropical regions. To our knowledge, this is one of the few reported cases of the rare melioidosis infection from the Mizoram state bordering Myanmar and Bangladesh. Case Report: We report a case of culture-confirmed B. pseudomallei osteomyelitis in a 29-year-old non-diabetic, immunocompetent adult from an endemic region of Myanmar. Conclusion: The diagnosis of melioidosis requires a high index of suspicion among clinicians and clinical microbiologists, particularly in endemic areas. This report aims to highlight the complexity of the organism in view of the diagnostic challenges and the critical importance of clinical suspicion of melioidosis.