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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2026; 14(5): 118498
Published online Feb 16, 2026. doi: 10.12998/wjcc.v14.i5.118498
Published online Feb 16, 2026. doi: 10.12998/wjcc.v14.i5.118498
Disseminated melioidosis presenting with multifocal thoracic aortic mycotic aneurysms: A case report
Chee Yik Chang, Fatin Aqilah Nor Aswan, Department of Medicine, Hospital Sultanah Aminah, Johor Bahru 80100, Johor, Malaysia
Muhamad Aibaq Muhamad Yazid, Department of Radiology, Hospital Sultanah Aminah, Johor Bahru 80100, Johor, Malaysia
Author contributions: Chang CY conceived and supervised the study and led the writing and revision of the manuscript; Nor Aswan FA and Muhamad Yazid MA curated the data and drafted the manuscript.
Informed consent statement: The patient provided written consent for the publication of their case details and accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chee Yik Chang, MRCP, Department of Medicine, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru 80100, Johor, Malaysia.
Received: January 13, 2026
Revised: January 24, 2026
Accepted: February 2, 2026
Published online: February 16, 2026
Processing time: 37 Days and 12 Hours
Revised: January 24, 2026
Accepted: February 2, 2026
Published online: February 16, 2026
Processing time: 37 Days and 12 Hours
Core Tip
Core Tip: Melioidosis is a potentially severe infectious disease caused by Burkholderia pseudomallei, with clinical manifestations ranging from localized infection to fulminant disseminated disease. Although vascular involvement is an uncommon complication, mycotic aneurysm represents a particularly severe manifestation. Involvement of the thoracic aorta is especially rare and carries a high risk of morbidity and mortality. This case highlights disseminated melioidosis complicated by multifocal mycotic aneurysms of the descending thoracic aorta, emphasizing the need for early recognition, serial imaging, and multidisciplinary management to improve patient outcomes.