Insights

Melioidosis, a serious bacterial infection caused by Burkholderia pseudomallei, is under-recognized in Indonesia. This study highlights three cases in Makassar, emphasizing the need for improved diagnostics and disease awareness.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Public Health

Background:

  • Melioidosis is endemic in Southeast Asia and Northern Australia.
  • Cases are infrequently reported in Indonesia, suggesting underdiagnosis.

Observation:

  • Three cases of melioidosis occurred in Makassar, South Sulawesi, Indonesia, between 2013 and 2014.
  • Two patients died, and one was lost to follow-up.
  • Burkholderia pseudomallei was identified using VITEK2 Compact, but delayed recognition hindered appropriate antimicrobial treatment.

Findings:

  • A literature review revealed only seven previous reports of melioidosis in Indonesia, with most from before 1960.
  • The study suggests melioidosis is likely endemic throughout Indonesia but remains significantly under-recognized.

Implications:

  • Enhanced training for accurate and safe identification of Burkholderia pseudomallei is crucial for all microbiological facilities.
  • Consideration should be given to making melioidosis a notifiable disease in Indonesia to improve surveillance and management.

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