Document Detail

Changing epidemiology of melioidosis? A case of acute pulmonary melioidosis with fatal outcome imported from Brazil.
MedLine Citation:
PMID:  16181507     Owner:  NLM     Status:  MEDLINE    
Melioidosis is an infectious disease caused by Burkholderia pseudomallei. It is endemic in South East Asia and tropical regions of Northern Australia. Sporadic cases have been described elsewhere. In this article we present a case of acute pulmonary melioidosis with fatal outcome imported from Brazil. The most common pathogen causing severe community-acquired pneumonia in Brazil is Streptococcus pneumoniae. Other possible pathogens include Legionella spp., Mycoplasma pneumonia, Gram-negative rods and viruses. There are few reports of melioidosis in the Americas. This article represents the second known human case of melioidosis from Brazil. Recognition of melioidosis as a possible cause of severe pneumonia, even if a patient has not been travelling in a highly endemic area, is important because of the therapeutic consequences. The epidemiology of melioidosis will be reviewed.
H Aardema; E M Luijnenburg; E F Salm; H A Bijlmer; C E Visser; J W Van't Wout
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Epidemiology and infection     Volume:  133     ISSN:  0950-2688     ISO Abbreviation:  Epidemiol. Infect.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-26     Completed Date:  2005-11-25     Revised Date:  2010-05-17    
Medline Journal Info:
Nlm Unique ID:  8703737     Medline TA:  Epidemiol Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  871-5     Citation Subset:  IM    
Department of Internal Medicine, Bronovo Hospital, The Hague, The Netherlands.
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MeSH Terms
Acute Disease
Anti-Bacterial Agents / administration & dosage
Brazil / epidemiology
Burkholderia pseudomallei / isolation & purification*
Diabetes Mellitus, Type 1
Diagnosis, Differential
Drug Therapy, Combination
Fatal Outcome
Melioidosis / diagnosis*,  drug therapy,  epidemiology,  microbiology,  pathology,  radiography
Middle Aged
Pneumonia, Bacterial / diagnosis*,  drug therapy,  epidemiology,  microbiology,  pathology,  radiography
Reg. No./Substance:
0/Anti-Bacterial Agents

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