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Simplified Whole Body Plethysmography to Characterize Lung Function During Respiratory Melioidosis
Published on: February 24, 2023
[Melioidosis]
V Keluangkhot1, R Pethsouvanh, M Strobel
1Institut de la francophonie pour la médecine tropicale, BP 9519, Vientiane, Laos.
Abstract:
Melioidosis is an emerging zoonosis, due to Burkholderia pseudomallei, which is a highly invasive, resistant, and resilient soil bacteria, transmitted by cutaneous or airborne route, and is a potential weapon for bioterrorism. Although the agent has been identified all over the world, the human disease is endemic only in SE Asia and Northern Australia, and gained recent interest after the December 2004 tsunami. Human infection can be a very severe systemic disease (mortality 20 to 80%), with protean expression, but the lung is the most affected organ (50%). Pathophysiology remains unclear. Diabetes mellitus is a major risk factor, and is present in half the Asian patients with melioidosis. Recommended antibiotic regimens are expensive, and in severe disease should be prolonged to 20 weeks to reduce the risk of relapse. Prospects for prevention are limited, and no vaccine is available yet.
Insights
Melioidosis, a severe zoonotic disease caused by Burkholderia pseudomallei, is a growing global health concern, particularly in Southeast Asia and Australia. Effective treatment requires prolonged, expensive antibiotics, and prevention remains a significant challenge.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Context:
- Melioidosis is an emerging zoonosis caused by Burkholderia pseudomallei, a resilient soil bacterium.
- Transmission occurs via cutaneous or airborne routes, posing a bioterrorism risk.
- Endemic in Southeast Asia and Northern Australia, it gained attention after the 2004 tsunami.
Purpose:
- To highlight the clinical significance and challenges associated with Melioidosis.
- To underscore the severity, risk factors, and treatment complexities of this emerging infectious disease.
Summary:
- Burkholderia pseudomallei causes severe, systemic melioidosis, with high mortality (20-80%) and lung involvement in 50% of cases.
- Diabetes mellitus is a major risk factor, present in half of Asian patients.
- Treatment involves expensive, prolonged antibiotic regimens (up to 20 weeks) to prevent relapse.
Impact:
- Melioidosis represents a significant public health threat due to its severity and limited prevention strategies.
- The lack of an available vaccine necessitates further research into control and treatment.
- Understanding pathophysiology is crucial for improving patient outcomes and developing novel interventions.
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