A new threat to children: Melioidosis

Neonatal melioidosis case reports—Lessons learned

“…In a previous systematic review of the literature, 22 neonatal melioidosis cases have been identified with primary outcome, which is survival of the neonates from the infection . Since then, six more neonatal melioidosis cases that have primary outcome were published, and including the two cases presented here, the number of cases available for review totaled to 30. However, detailed clinical data were not available for eight cases, all of which came from a case series .…”

Case Report: Fatal Pediatric Melioidosis Despite Optimal Intensive Care

“…Earlier disease recognition and improvements in ICU care have seen a dramatic fall in melioidosis-related mortality in Australia in recent decades. 4,5 A fatal case of pediatric melioidosis is now very unusual in the country. In a series from the Royal Darwin Hospital, the Australian hospital with the highest caseload of melioidosis, all five children admitted to ICU during the 24-year study period survived.…”

“…It is less common in children and has a lower case-fatality rate, although this varies by geographical location. 3 In Southeast Asia, up to 35% of children with melioidosis die, 4 but in Australia, where there is better access to health care and superior intensive care support, fatal pediatric melioidosis is exceedingly rare. 2 In January 2017, two children presented with melioidosis to Cairns Hospital, a regional referral center in Far North Queensland (FNQ), Australia.…”