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Neonatal melioidosis: a case report from India

M J C Noyal1, B N Harish, V Bhat

  • 1Department of Microbiology, Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Pondicherry, India.

Indian Journal of Medical Microbiology
|July 9, 2009
PubMed

Insights

Melioidosis, a serious infectious disease caused by Burkholderia pseudomallei, was diagnosed in an Indian subcontinent neonate for the first time. The infant recovered after successful treatment with meropenem.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Neonatal Care

Background:

  • Melioidosis, caused by Burkholderia pseudomallei, is a significant public health concern in Southeast Asia and Australia.
  • This report details the first documented case of melioidosis in a neonate from the Indian subcontinent.

Observation:

  • A preterm neonate presented with respiratory distress, fever, tachypnea, and poor perfusion shortly after birth.
  • Chest X-ray indicated right-sided bronchopneumonia.
  • Burkholderia pseudomallei was identified from the neonate's blood culture.

Findings:

  • The neonate was diagnosed with melioidosis, a rare condition in newborns from this region.
  • The causative agent, Burkholderia pseudomallei, was successfully isolated and identified.
  • The clinical presentation included severe respiratory compromise.

Implications:

  • This case highlights the potential for melioidosis in neonates within the Indian subcontinent.
  • Early diagnosis and appropriate antibiotic treatment, such as meropenem, are crucial for favorable outcomes.
  • Further surveillance and awareness are needed to understand transmission and incidence in this geographical area.

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