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Related Experiment Videos

An indigenous melioidosis: a case report.

Y H Chen1, C F Peng, K P Hwang

  • 1Department of Internal Medicine, Kaohsiung Medical College, Taiwan, Republic of China.

The Kaohsiung Journal of Medical Sciences
|June 22, 1999
PubMed
Summary

A rare but fatal case of melioidosis caused by Burkholderia pseudomallei occurred in a diabetic patient in Taiwan. Despite intensive care, the patient succumbed to fulminant pneumonia and septicemia, highlighting the disease

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Pulmonology

Background:

  • Melioidosis is an infectious disease endemic in Southeast Asia and Australia.
  • Taiwan has a low incidence of melioidosis, making local cases rare.
  • Burkholderia pseudomallei is the causative agent of melioidosis.

Observation:

  • A male diabetic patient in Taiwan presented with severe symptoms including productive cough, fever, dyspnea, shock, and altered consciousness.
  • The patient had no history of recent international travel.
  • Clinical presentation suggested fulminant pneumonia and septicemia.

Findings:

  • Blood cultures confirmed the presence of Burkholderia pseudomallei.
  • The patient experienced a rapid decline in health despite medical intervention.

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  • The case was fatal, with the patient dying within nine days of admission.

    • Implications:

    • This case underscores the potential for severe melioidosis in non-endemic regions like Taiwan.
    • Highlights the importance of considering melioidosis in patients with compatible symptoms, even without travel history.
    • Emphasizes the aggressive nature of fulminant melioidosis and challenges in treatment.