Melioidosis: an unusual cause of infective endocarditis: a case report.

Introduction: As a causal organism in infective endocarditis, is rare. is intrinsically resistant to aminoglycosides but a gentamicin-susceptible strain was discovered in Sarawak, Malaysian Borneo in 2010. We report the first occurrence of infective endocarditis due to the gentamicin-susceptible strain of .

Case Presentation: A 29-year-old man presented with pneumonia and melioidosis septicaemia. His condition was complicated with infective endocarditis and septic emboli to the brain. Despite difficulties in reaching a diagnosis, the patient was successfully treated using intravenous gentamicin and ceftazidime and was discharged well.

Discussion: The role of gentamicin in the treatment of the gentamicin-susceptible strain of remains unclear.