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Melioidosis in a returned traveller.

Zain Chagla1, Natasha Aleksova2, Jaclyn Quirt2

  • 1Department of Infectious Diseases, McMaster University, Hamilton, Ontario.

The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Medicale
|October 7, 2014
PubMed
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Melioidosis is a serious infection found in Southeast Asia and Northern Australia. Early clinical suspicion and safe lab practices are crucial for managing this disease in travellers.

Keywords:
Laboratory safetyMelioidosisTravel medicineTropical medicine

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Tropical Medicine

Background:

  • Melioidosis is an endemic infection in Southeast Asia and Northern Australia.
  • It is a significant cause of morbidity and mortality in these regions.
  • The causative agent is the bacterium *Burkholderia pseudomallei*.

Observation:

  • This report details a case of chronic melioidosis.
  • The patient was a traveller returning from the Philippines.
  • Chronic melioidosis can present insidiously in returning travellers.

Findings:

  • Clinical suspicion is essential for diagnosing melioidosis in individuals with travel history to endemic areas.
  • Prompt diagnosis and treatment are vital for improving patient outcomes.
  • Laboratory transmission has been documented, highlighting the need for safety precautions.

Implications:

  • Healthcare providers should consider melioidosis in the differential diagnosis of febrile illnesses in travellers from endemic regions.
  • Awareness of endemic areas and risk factors is crucial for early detection.
  • Strict biosafety measures are necessary when handling potentially contaminated clinical specimens to prevent laboratory-acquired infections.