A Case of Imported Melioidosis Presenting as Prostatitis

Heyse, AM; Dierick, Jan; Vanhouteghem, H; Baert, D; Burvenich, P; Wauters, Georges

doi:10.1007/s15010-002-2112-3

Cited by 9 publications

(2 citation statements)

References 20 publications

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“…With the large numbers of French and later American troops based in Vietnam, with exposure to environmental B. pseudomallei and access to modern clinical and laboratory services, large numbers of cases were described from the 1940s to the 1970s (130). Cases have continued to be observed in returning servicemen for up to 29 years following exposure (93,173,285), as have sporadic cases in Vietnamese emigrants and returned travelers to other countries (192,489).…”

Section: Vietnam Melioidosis Was First Noted In What Is Now Southernmentioning

confidence: 99%

Melioidosis: Epidemiology, Pathophysiology, and Management

2005

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Melioidosis, caused by the gram-negative saprophyte Burkholderia pseudomallei, is a disease of public health importance in southeast Asia and northern Australia that is associated with high case-fatality rates in animals and humans. It has the potential for epidemic spread to areas where it is not endemic, and sporadic case reports elsewhere in the world suggest that as-yet-unrecognized foci of infection may exist. Environmental determinants of this infection, apart from a close association with rainfall, are yet to be elucidated. The sequencing of the genome of a strain of B. pseudomallei has recently been completed and will help in the further identification of virulence factors. The presence of specific risk factors for infection, such as diabetes, suggests that functional neutrophil defects are important in the pathogenesis of melioidosis; other studies have defined virulence factors (including a type III secretion system) that allow evasion of killing mechanisms by phagocytes. There is a possible role for cell-mediated immunity, but repeated environmental exposure does not elicit protective humoral or cellular immunity. A vaccine is under development, but economic constraints may make vaccination an unrealistic option for many regions of endemicity. Disease manifestations are protean, and no inexpensive, practical, and accurate rapid diagnostic tests are commercially available; diagnosis relies on culture of the organism. Despite the introduction of ceftazidime- and carbapenem-based intravenous treatments, melioidosis is still associated with a significant mortality attributable to severe sepsis and its complications. A long course of oral eradication therapy is required to prevent relapse. Studies exploring the role of preventative measures, earlier clinical identification, and better management of severe sepsis are required to reduce the burden of this disease

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Section: Vietnam Melioidosis Was First Noted In What Is Now Southernmentioning

confidence: 99%

Melioidosis: Epidemiology, Pathophysiology, and Management

2005

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“…Primary prostatic melioidosis has been mostly described in northern Australia and less frequently in Southeast Asia [ 1 ]. Nevertheless, primary prostatic melioidosis cases have been rarely reported among tourists returning from endemic areas in Southeast Asia [ 4 , 5 ]. However, no prior cases of primary prostatic melioidosis have been reported from Panama [ 6 ].…”

mentioning

confidence: 99%

A Case Report of Melioidotic Prostatic Abscess in a Traveler

Verdecia

Jankowski

Isache

et al. 2022

Open Forum Infectious Diseases

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A 48-year-old-man who returned from Panama 5 weeks prior presented with fever, dysuria, hematuria, flank pain, and suprapubic pain and was found to have a prostatic abscess. Abscess fluid obtained during transurethral drainage grew Burkholderia pseudomallei. Blood cultures remained negative, and imaging did not show any other visceral abscess. This presentation of primary prostatic melioidosis is extremely rare in this region. Keywords: Melioidosis; Burkholderia pseudomallei; Prostatic abscess; traveler-related disease, Meropenem; Trimethoprim-sulfamethoxazole

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Melioidosis

2013

Emerging Epidemics

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A Case of Imported Melioidosis Presenting as Prostatitis

Cited by 9 publications

References 20 publications

Melioidosis: Epidemiology, Pathophysiology, and Management

Melioidosis: Epidemiology, Pathophysiology, and Management

A Case Report of Melioidotic Prostatic Abscess in a Traveler

Melioidosis

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