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Chronic Melioidosis
Subacute Melioidosis

Presentation

Melioidosis presenting as prostatitis--a case report from Sabah. Trans R Soc Trop Med Hyg 1978; 72: 522-524. https://doi.org/10.1016/0035-9203(78)90175-X Morse LP, Moller CC, Harvey E, Ward L, Cheng AC, Carson PJ, et al. [medicinaylaboratorio.com]

The most common clinical presentation was bacteremic pneumonia (in 4 patients); 5 patients had a history of diabetes. [ncbi.nlm.nih.gov]

Respiratoric

  • Pneumonia

    Severiche published a report in 1998 about a patient with pneumonia (6). Montufar et al. described a series of 7 patients during 1998–2012, of whom 5 had bacteremic pneumonia (7). [ncbi.nlm.nih.gov]

    Pseudomonas pseudomallei community acquired pneumonia. Rev Colomb Neumol 1998; 10: 188-92. [ Links ] 13 Camargo N, Casadiego G K, Fernandez D A, Millan L V, Hernandez A K, Vargas S, et al. A young diabetic patient with sepsis after gardening. [scielo.cl]

    Melioidosis: an important cause of pneumonia in residents of and travellers returned from endemic regions. Eur Respir J 2003; 22: 542-550. https://doi.org/10.1183/09031936.03.00006203 Osteraas GR, Hardman JM, Bass JW, Wilson C. Neonatal melioidosis. [medicinaylaboratorio.com]

Treatment

Melioidosis: Evolving concepts in epidemiology, pathogenesis, and treatment. Semin Respir Crit Care Med 2015; 36: 111-25. doi: 10.1055/s-0034-1398389. [ Links ] 3 Leelarasamee A. Melioidosis in Southeast Asia. [scielo.cl]

Patient age, y/ sex Medical history and risk factors Clinical manifestation Type of sample Empirical treatment Appropriate treatment (duration) ICU Outcome Relapse 1 72/M Diabetes, arterial hypertension Bacteremic pneumonia Blood culture, urine culture [ncbi.nlm.nih.gov]

Epidemiology

Melioidosis: epidemiology, pathophysiology, and management. Clin Microbiol Rev 2005; 18: 383-416. https://doi.org/10.1128/CMR.18.2.383-416.2005 White NJ. Melioidosis. [medicinaylaboratorio.com]

Melioidosis: Evolving concepts in epidemiology, pathogenesis, and treatment. Semin Respir Crit Care Med 2015; 36: 111-25. doi: 10.1055/s-0034-1398389. [ Links ] 3 Leelarasamee A. Melioidosis in Southeast Asia. [scielo.cl]

Table 1 Epidemiologic and demographic characteristics, underlying conditions, clinical manifestations and outcomes of patients with melioidosis in the Caribbean coast region of Colombia* Patient no. [ncbi.nlm.nih.gov]

Pathophysiology

Melioidosis: epidemiology, pathophysiology, and management. Clin Microbiol Rev 2005; 18: 383-416. https://doi.org/10.1128/CMR.18.2.383-416.2005 White NJ. Melioidosis. [medicinaylaboratorio.com]

Prevention

Asian Pac J Trop Med. 2016;9:515–24. 10.1016/j.apjtm.2016.04.003 [PubMed] [CrossRef] [Google Scholar] Articles from Emerging Infectious Diseases are provided here courtesy of Centers for Disease Control and Prevention [ncbi.nlm.nih.gov]

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