Neonatal Melioidosis: A Case Report From India

Noyal, M. J. C.; Harish, Belgode Narasimha; Bhat, Vishnu; Parija, Subhash Chandra

doi:10.4103/0255-0857.53213

Cited by 11 publications

(4 citation statements)

References 11 publications

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“…It was reported also from Kerala, Karnataka, East, Northeast and the South East. [7][8][9] Vidyalaksmi et al found fever to be the commonest complaint (96% cases) and diabetes mellitus as a predisposing factor which we found in both our cases. 10 The second case had a long history of fever attributable to the chronic form of melioidosis.…”

Section: Discussionsupporting

confidence: 64%

An interesting case of melioidosis: a mimicry of pulmonary tuberculosis

et al. 2022

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Melioidosis is caused by Burkholderia pseudomallei which is a soil-dwelling aerobic bacterium reported mostly in tropical and subtropical areas, especially in Asia (Southeast) and Australia (Northern part). Melioidosis is a severe infection that can manifest as chronic debilitating pneumonia mimics pulmonary tuberculosis. Here, we reported a case of melioidosis, in 51-year-old men with poorly controlled type 2 diabetes mellitus. The patient recovered with appropriate intravenous antibiotics and supportive medications.

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Section: Discussionsupporting

confidence: 64%

An interesting case of melioidosis: a mimicry of pulmonary tuberculosis

et al. 2022

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“…The results showed the presence of a clover leaf-like shaped zone of inhibition around each tested strain towards the Meropenem disk that was understood as Carbapenemases producing strain or a positive result (figure3).The present study showed that 21of 30 isolates (70 %) MHT positive. This results was close relative with the study which was done by Metwally et al,(32) that the percentage of the MHT test as a positive results (85% ).But this study disagree with the studies done by Noyal et al,( 33 ) and Hashemi et al,( 34 ) in India and Iran respectively which showed small percentages (12% and 16%).…”

Section: Modified Hodge Test (Mht)supporting

confidence: 66%

Frequency of Metallo-β-Lactamases Producing Klebsiella pnumoniae in Burn Wound Isolates

Atyia Hammoudi,

N. Hussein,

Sh. Jebur

2017

Kufa Jour. Bio.

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From the period 1 /3 /2016 to 30 / 8 / 2016, 210 swabs were collected from the burn patients hospitalized in different hospitals in Baghdad City: Al-Karama Teaching Hospital, Special Burn Hospital, Central Teaching Laboratories, Child protection Teaching Hospital, Imam Ali Hospital. Forty two isolates (37.5 %) showed a growth of Klebsiella pneumonia, and the remaining isolates (62.5%) were belonged to other bacteria. Identification of all isolates were carried out depending on macroscopic, microscopic characterizations, conventional biochemical tests and Api 20E system. Metallo -β lactamase (MBL) enzymes were screen by three different phenotypic methods (DDST, CMDT and MHT) in which 10µg meropenem antibiotic disk has selected to all phenotypic methods. Susceptibility test done with antibiotic disks of cefotaxime, ceftazidime, aztreonam, imipenem, meropenem, gentamicin, amikacin, ciprofloxacin, tetracycline and trimethoprim-sulfamethoxazole. The percentage of resistance isolates were presented as, Tetracycline (95.23%), Cefotaxime (85.71%), Trimethoprim- Sulfamethoxazol (83.33%), Aztreonam (71.42%), Ceftazidime (69.04%), Ciprofloxacin (59.52%), Gentamycin (26.19%), Imipenem (21.42%), Meropenem and Amikacin (19.04 %).

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“…Hence the true incidence of the disease is unknown, and it may vary from state to state with a few hotspots within the same state. For the past few decades, India has faced increased case reports of melioidosis especially in the southern coastal regions including Malabar region of Kerala, Karnataka, Maharashtra, Tamil Nadu and Pondicherry [1,4,6,[11][12][13][14][15]. There are quite a few studies on the isolation of B. pseudomallei from soil from coastal regions of South India including Karnataka and Tamil Nadu, indicating that this organism could be endemic there although few cases have been reported.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare and fatal case of tubo-ovarian abscess due to Burkholderia pseudomallei presenting as puerperal sepsis

Bhaskar M,

Rajamanikam,

Raj

et al. 2023

Access Microbiology

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Introduction. Melioidosis is an emerging life-threatening infectious disease caused by the Gram-negative Burkholderia pseudomallei found in contaminated soil and surface ground water. It often presents with varied clinical manifestations and has a high mortality if left untreated due to lack of clinical suspicion. Here we report a rare and fatal case of tubo-ovarian abscess presenting as puerperal sepsis due to B. pseudomallei in a young woman. Case report. A 25-year-old female presented for medical consultation at day 43 postpartum complaining of fever on and off for the past 40 days associated with vomiting. On per speculum examination, greenish discharge from the cervix was seen and a right adnexal mass was felt which was cystic in consistency, non-tender and pushing the cervix to the left side. An exploratory laparotomy was carried out and pus was drained from below the rectus sheath, and from the right tubo-ovarian mass. Peripheral blood and the pus samples collected intraoperatively grew B. pseudomallei . The patient died on the fifth post-operative day due to septic shock with disseminated intravascular coagulation secondary to puerperal sepsis. Conclusion. Melioidosis is a fatal but treatable disease when it is promptly diagnosed. In countries such as India, where tuberculosis is highly endemic, underdiagnosis of melioidosis can be common. Clinicians and microbiologists should have a high index of suspicion of melioidosis especially in individuals with underlying illness.

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Neonatal Melioidosis: A Case Report From India

Cited by 11 publications

References 11 publications

An interesting case of melioidosis: a mimicry of pulmonary tuberculosis

An interesting case of melioidosis: a mimicry of pulmonary tuberculosis

Frequency of Metallo-β-Lactamases Producing Klebsiella pnumoniae in Burn Wound Isolates

A rare and fatal case of tubo-ovarian abscess due to Burkholderia pseudomallei presenting as puerperal sepsis

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