Abstract
•Sporadic cases of Burkholderia pseudomallei infections can happen in returning travel.•Burkholderia pseudomallei Infection leading to vascular aneurism is rarely observed.•Diagnosis can be enhanced by obtaining vascular tissue culture.•Early treatment including surgical intervention can be lifesaving.
Melioidosis is endemic in Southeast Asia and Australia and cases outside those regions are often travel related. We present a case of melioidosis in a man, with no known risk factors who had an unusual presentation with an infected abdominal aortic aneurysm by Burkholderia pseudomallei in Saudi Arabia, a country with no previous reported cases of this infection. It occurred after traveling to Thailand and he was treated successfully with medical therapy and surgical intervention.