Melioidosis

Borton, Dorothy

doi:10.1097/01.nurse.0000872460.50198.39

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…Certain environmental conditions (e.g., tropical storms) and certain occupations (e.g., rice farming) also increase the risk of exposure to this organism [ 5 ]. In recent decades, the geographic range has expanded considerably, and it is now suspected to be endemic in parts of Central and South America, the Caribbean, Mexico, and potentially certain parts of the USA [ 13 ]. Most case reports in the USA are related to international travel to endemic areas, whereas some cases were related to the importation of products (e.g., aromatherapy spray, tropical fish) from endemic areas [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…In recent decades, the geographic range has expanded considerably, and it is now suspected to be endemic in parts of Central and South America, the Caribbean, Mexico, and potentially certain parts of the USA [ 13 ]. Most case reports in the USA are related to international travel to endemic areas, whereas some cases were related to the importation of products (e.g., aromatherapy spray, tropical fish) from endemic areas [ 13 ]. There is a case report in rural Texas, the infection of which is theorized to be acquired from the environment [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Melioidosis in the Bronx

Martinez,

Oh,

Gandhi

et al. 2024

Cureus

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Melioidosis is caused by a gram-negative bacillus Burkholderia pseudomallei (B. pseudomallei) , which is found in water and soil in endemic areas. There are indicators that B. pseudomallei is increasing in endemic regions and expanding into new locations. It is unclear whether this is because of expanded boundaries or improved detection capabilities. It is even theorized to be endemic in certain parts of the USA. The most common medical risk factor is diabetes mellitus, and it frequently presents as acute pneumonia, and often progresses to bacteremia. It is designated as a tier 1 select biological agent and toxin by the CDC. In this case report, we present a 67-year-old male with multiple comorbidities, who contracted melioidosis while visiting Honduras, as well as the laboratory’s response to the occupational exposure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rare Case of Melioidosis in the Bronx

Martinez,

Oh,

Gandhi

et al. 2024

Cureus

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Risk Factors for Melioidosis Mortality and Epidemics: A Multicentre, 10-Year Retrospective Cohort Study in Northern Hainan

et al. 2023

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Introduction Burkholderia pseudomallei is a gram-negative environmental bacterium and aetiological agent of melioidosis, a tropical infectious disease with diverse clinical presentations. We aimed to describe the epidemiological and clinical characteristics of melioidosis in northern Hainan and to determine the meteorological factors affecting its morbidity. Methods We conducted a retrospective, multicentre, observational cohort study of 90 patients with melioidosis admitted to four general hospitals in northern Hainan from 2010 to 2020. Epidemiological, clinical presentation, laboratory and treatment outcome data were collected and analysed. The monthly incidence of melioidosis and meteorological data, including precipitation, temperature, humidity, air pressure and wind speed, for the same period were collected to analyse the relationship between meteorological factors and the incidence of melioidosis. Results Of the 90 patients included in the study, 79 (87.78%) were male. Patient age ranged from 10 to 81 years old, but most patients, namely, 78 (86.67%), were middle-aged and elderly people aged 41–81 years old. Forty-six patients (51.11%) were farmers. The number of cases increased significantly after 2014, with the highest numbers occurring in 2014 and 2016. The highest number of cases occurred in summer and autumn and were associated with abundant rainfall, and 58 cases (64.44%) occurred from July to December. The patients showed diverse presentations and abnormal laboratory parameters: 69 patients (76.67%) had a history of diabetes mellitus; bacteremia was present in 50 patients (55.56%), sepsis was present in 39 patients (43.33%) and pneumonia in 19 patients (21.11%). An average high-sensitivity C-reactive protein (hs-CRP) level of 149.57 ± 13.65 mg/L and a median procalcitonin (PCT) level of 1.31 (0.39, 6.21) ng/mL were observed. Among all the cases, 21 (23.33%) were identified as acute infections, 51 (56.67%) as subacute infections and 18 (20.00%) as chronic infections. Six patients (6.67%) died of illness; five of these patients were male, and five of these patients were middle-aged and elderly patients. The monthly average precipitation was significantly positively correlated with the monthly average incidence of melioidosis ( r = 0.74, P < 0.01). Conclusion Male patients, farmers and especially middle-aged and elderly individuals with a history of diabetes mellitus accounted for most of the patients. The majority of cases were concentrated in coastal areas. Most cases of melioidosis occurred during the rainy seasons, and the monthly average precipitation was an independent factor affecting the average monthly incidence of melioidosis.

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Melioidosis

Cited by 2 publications

References 28 publications

A Rare Case of Melioidosis in the Bronx

A Rare Case of Melioidosis in the Bronx

Risk Factors for Melioidosis Mortality and Epidemics: A Multicentre, 10-Year Retrospective Cohort Study in Northern Hainan

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