Document Detail


Severe coinfection of melioidosis and dengue fever in Northeastern Brazil: first case report.
MedLine Citation:
PMID:  22370846     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report focuses on a fatality involving severe dengue fever and melioidosis in a 28-year-old truck driver residing in Pacoti in northeastern Brazil. He exhibited long-term respiratory symptoms (48 days) and went through a wide-ranging clinical investigation at three hospitals, after initial clinical diagnoses of pneumonia, visceral leishmaniasis, tuberculosis, and fungal sepsis. After death, Burkholderia pseudomallei was isolated in a culture of ascitic fluid. Dengue virus type 1 was detected by polymerase chain reaction in cerebrospinal fluid (CSF); this infection was the cause of death. This description reinforces the need to consider melioidosis among the reported differential diagnoses of community-acquired infections where both melioidosis and dengue fever are endemic.
Authors:
Rafael Nogueira Macedo; Felipe Araujo Rocha; Dionne Bezerra Rolim; Dina Cortez Lima Feitosa Vilar; Fernanda Montenegro de Carvalho Araújo; Nélia Nogueira Vieira; Juliana Rodrigues Teixeira; Maíza Colares Carvalho; Francisco George Magalhães Oliveira; Luciano Pamplona de Góes Cavalcanti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Revista da Sociedade Brasileira de Medicina Tropical     Volume:  45     ISSN:  1678-9849     ISO Abbreviation:  Rev. Soc. Bras. Med. Trop.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-28     Completed Date:  2012-09-28     Revised Date:  2013-01-07    
Medline Journal Info:
Nlm Unique ID:  7507456     Medline TA:  Rev Soc Bras Med Trop     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  132-3     Citation Subset:  IM    
Affiliation:
Ambulatório de Doenças Infecciosas, Hospital Geral de Fortaleza, Fortaleza, CE.
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MeSH Terms
Descriptor/Qualifier:
Adult
Burkholderia pseudomallei / isolation & purification
Coinfection / diagnosis*,  microbiology,  virology
Dengue / complications,  diagnosis*
Dengue Virus / isolation & purification
Diagnosis, Differential
Fatal Outcome
Humans
Male
Melioidosis / complications,  diagnosis*
Comments/Corrections
Comment In:
Rev Soc Bras Med Trop. 2012 Oct;45(5):657; author reply 657-8   [PMID:  23152356 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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