- Caused by Burkholderia (Pseudomonas) mallei
- Exists in eastern Europe and Asia
- Notifiable in UK
- Characterised by multiple small submucosal nasal nodules which liquefy and ulcerate
- Cores of neutrophils surrounded by a rim of macrophages and granulation tissue
- In addition may have similar nodules in lungs, lymph nodes and cutaneous lymphatics
- Clinical signs: fever and head/ neck lymphadenitis, rhinitis