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Published on: October 9, 2011
[Melioidosis, first four cases in Iceland]
Abstract:
We report the first four cases of Melioidosis treated in Iceland and review the literature. Melioidosis is caused by the saprophytic Gram negative bacteria Burkholderia pseudomallei. Most disease occurs in residents of Southeast-Asia and North-Australia. The most common presentation of Melioidosis is pneumonia but as these cases demonstrate the infection has protean manifestations and B. pseudomallei can infect nearly every organ. It is important to notify the laboratory of the possibilty of Melioidosis as the bacteria can be difficult to identify and poses an infection risk to laboratory staff. Also, B. pseudomallei is resistant to many of the antibiotics normally used to treat pneumonia and due to its intracellular persistance requires prolonged therapy.
Insights
This study details the first four Melioidosis cases in Iceland, caused by Burkholderia pseudomallei. It highlights the infection
Area of Science:
- Infectious Diseases
- Microbiology
- Clinical Medicine
Background:
- Melioidosis is caused by Burkholderia pseudomallei, a Gram-negative bacterium.
- Geographically, endemic areas include Southeast Asia and Northern Australia.
- The disease presents with diverse clinical manifestations, not limited to pneumonia.
Observation:
- Four cases of Melioidosis treated in Iceland are reported.
- These cases demonstrate the protean manifestations of the infection.
- Burkholderia pseudomallei exhibits resistance to common antibiotics and intracellular persistence.
Findings:
- Melioidosis can affect nearly every organ system.
- Laboratory identification of Burkholderia pseudomallei can be challenging.
- The bacteria pose an infection risk to laboratory personnel.
Implications:
- Increased awareness of Melioidosis is crucial, especially in non-endemic regions.
- Prompt laboratory notification is essential for accurate diagnosis and safety.
- Prolonged antibiotic therapy is required for successful treatment due to bacterial characteristics.
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