Geographic Distribution and Incidence of Melioidosis, Panama1

Insights

Melioidosis, a serious infection caused by Burkholderia pseudomallei, appears to be endemic in Panama. A study found 12 cases between 2007-2017, highlighting the need for increased surveillance in the Americas.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Public Health

Background:

  • Melioidosis is a severe infection caused by the bacterium Burkholderia pseudomallei.
  • Geographic distribution is primarily Southeast Asia and Northern Australia, with limited reported cases in the Americas.
  • The epidemiology of melioidosis in Central America remains poorly understood.

Purpose of the Study:

  • To investigate the occurrence and potential endemicity of melioidosis in Panama.
  • To assess the need for enhanced surveillance of Burkholderia pseudomallei infections in the region.

Main Methods:

  • A retrospective study design was employed.
  • Data on melioidosis cases were collected and analyzed for the period 2007-2017 in Panama.

Main Results:

  • Twelve cases of melioidosis were identified in Panama during the 11-year study period.
  • The case count suggests a higher prevalence than previously recognized in the Americas.
  • These findings indicate a potential endemic focus of Burkholderia pseudomallei in Panama.

Conclusions:

  • Melioidosis may be an under-recognized public health issue in Panama.
  • Increased awareness and surveillance for melioidosis are warranted in Panama and potentially other parts of the Americas.
  • Further research is needed to understand the environmental reservoirs and transmission dynamics of Burkholderia pseudomallei in this region.

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