Socio-demographic, Clinical and Laboratory Characteristics of Melioidosis: Four-Year Experience of Managing Consecutive 11 Cases in a Tertiary Care Hospital of Bangladesh

Afroze, Samira Rahat; Haque, Hasna Fahmima; Afroz, Farhana; Barai, Lovely; Rahim, Muhammad Abdur; Haque, Tariful; Ahmed, Jamal Uddin; Ahmed, Akm Shaheen; Hossain, Delwar; Rahman, Rezaur; Musa, Akm; Uddin, K. N.

doi:10.3329/birdem.v7i1.31269

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…It is still underreported due to its diverse clinical manifestations and inadequacy of conventional bacterial identification methods. 8 Moreover, clinical, radiological and pathological similarities with tuberculosis may result in overlooking newly emerging diseases like melioidosis in tuberculosis endemic areas. 9 Worldwide about 1,65,000 people are diagnosed as case of melioidosis per year.…”

Section: Discussionmentioning

confidence: 99%

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Melioidosis in a Patient with Type I Diabetes Mellitus - A Case Report

Ahmed

Mollah

Mohsin

et al. 2018

Bangladesh J Child Health

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Melioidosis is a relatively uncommon but fatal infectious disease caused by the gram negative bacterium, Burkholderia pseudomallei which is usually found in the wet soil, mud and pooled surface water in tropic and subtropics. Documented reports of melioidosis from Bangladesh have been few and sporadic. All of the reported cases in Bangladesh were on adult. Melioidosis is commonly associated with underlying diseases like diabetes mellitus, renal diseases and immunodeficiency disorders. Early and correct diagnosis is important, as mortality in untreated melioidosis is high. Our patient, an eleven years old boy, a known case of diabetes mellitus, presented with fever for one month associated with right sided neck swelling, abdominal distension & pain for 10 days. He had an abscess on the right side of the neck and hepatosplenomegaly. Ultrasonography of abdomen showed multiple abscesses in the liver and spleen. Culture of pus drained from the neck abscess revealed growth of Burkholderia pseudomallei. After getting parenteral antibiotics and insulin, his abscesses gradually resolved and cured completely.Bangladesh J Child Health 2018; VOL 42 (1) :46-48

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Section: Discussionmentioning

confidence: 99%

“…9 Worldwide about 1,65,000 people are diagnosed as case of melioidosis per year. [8][9][10] Among them 15% account for paediatric melioidosis in endemic areas. 10,11 Diabetes mellitus has been found to be one of the most frequent predisposing factor.…”

Section: Discussionmentioning

confidence: 99%

Melioidosis in a Patient with Type I Diabetes Mellitus - A Case Report

Ahmed

Mollah

Mohsin

et al. 2018

Bangladesh J Child Health

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“…Common presentations of melioidosis include fever, pneumonia, abscesses, septic arthritis and genitourinary infections. 5,6 Clinical presentation of melioidosis often mimics tuberculosis and in tuberculosis endemic countries like Bnagladesh, it is not unlikely that cases are started with empiric anti-tuberculosis therapy. 6,7 Septic arthritis is common and generally complicates septicaemic melioidosis.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Clinical presentation of melioidosis often mimics tuberculosis and in tuberculosis endemic countries like Bnagladesh, it is not unlikely that cases are started with empiric anti-tuberculosis therapy. 6,7 Septic arthritis is common and generally complicates septicaemic melioidosis. 8,9 Patients may develop metastatic abscess even while on antibiotic treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Diabetes mellitus is an established risk factor for melioidosis and occasionally an infective episode by B. pseudomallei may unmask undetected diabetes. 5,6 Other risk factors include alcoholism, steroid intake 5 , renal failure, chronic liver disease, thalassaemia, chemotherapy etc. 1 Our patient had diabetes and hepatitis B virus associated chronic liver disease.…”

Section: Discussionmentioning

confidence: 99%

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Septicaemic Melioidosis Complicated by Septic Arthritis in A Bangladeshi male: A Case Report

et al. 2018

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Melioidosis is an uncommon disease in Bangladesh but in recent years increasing numbers of cases are being diagnosed. A case of septicaemic melioidosis occurring in a young Bangladeshi returning worker is reported here. The patient presented with fever and features of septic arthritis. Diagnostic work-up revealed the growth of Burkholderia pseudomallei from blood and synovial fluid cultures. This case highlights the importance of high index of clinical suspicion for melioidosis in appropriate clinical scenario.

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Evidence of expanding geographic distribution of melioidosis in Bangladesh: reports of three cases

2021

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Melioidosis is an emerging infectious disease in Bangladesh. Reported cases are mostly diagnosed among inhabitants of central and north-east zone of the country. We report three cases of melioidosis occurring among patients with diabetes mellitus and chronic kidney disease from not well-known endemic areas within the country. Patients presented with fever, anorexia and weight loss. Laboratory reports confirmed growth of Burkholderia pseudomallei from blood and urine. These cases are reported to increase awareness among physicians regarding melioidosis occurring beyond the so-called hot spots in Bangladesh. BIRDEM Med J 2021; 11(3): 239-242

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Socio-demographic, Clinical and Laboratory Characteristics of Melioidosis: Four-Year Experience of Managing Consecutive 11 Cases in a Tertiary Care Hospital of Bangladesh

Cited by 8 publications

References 26 publications

Melioidosis in a Patient with Type I Diabetes Mellitus - A Case Report

Melioidosis in a Patient with Type I Diabetes Mellitus - A Case Report

Septicaemic Melioidosis Complicated by Septic Arthritis in A Bangladeshi male: A Case Report

Evidence of expanding geographic distribution of melioidosis in Bangladesh: reports of three cases

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