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Melioidosis imported into Nepal.

Nabin Shrestha1, Sanjib Sharma, Basudha Khanal

  • 1Department of Internal Medicine, The B. P. Koirala Institute of Health Sciences, Dharan, Nepal. shrestn@ccf.org

Scandinavian Journal of Infectious Diseases
|March 15, 2005
PubMed
Summary
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The first case of melioidosis in Nepal was reported in a traveler returning from Malaysia. This case underscores the need to consider travel history in diagnosing infectious diseases globally.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Tropical Medicine

Background:

  • Melioidosis is a serious infectious disease caused by the bacterium Burkholderia pseudomallei.
  • It is endemic in Southeast Asia and Australia, but its presence in other regions is increasingly recognized.
  • Global travel facilitates the spread of infectious agents, necessitating awareness in non-endemic areas.

Observation:

  • A patient in Nepal presented with symptoms consistent with an infectious disease.
  • The patient had recently returned from a year-long stay in Malaysia.
  • This marked the first documented case of melioidosis diagnosed in Nepal.

Findings:

  • The patient was diagnosed with melioidosis, a rare but severe bacterial infection.
  • The diagnosis was confirmed following clinical evaluation and microbiological testing.

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  • The infection was likely acquired during the patient's stay in Malaysia.

    • Implications:

    • This case highlights the importance of considering melioidosis in the differential diagnosis of febrile illnesses, especially in travelers.
    • It emphasizes the need for healthcare providers in Nepal to be aware of this potentially fatal disease.
    • Ascertaining travel history is crucial for diagnosing infectious diseases in an era of increased global mobility.