Primary cutaneous melioidosis acquired in Nepal – Case report and literature review

Kuijpers, Sander C.; Klouwens, Michelle J.; Jong, Katja H. de; Langeslag, Jacqueline C.P.; Kuipers, Saskia; Reubsaet, Frans A.G.; Leeuwen, Ester M. M. van; Bree, Godelieve J. de; Hovius, Joppe W.; Grobusch, Martin P.

doi:10.1016/j.tmaid.2021.102080

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…CM may be a primary cutaneous infection or a disseminated secondary skin infection[ 13 ]. The common presentations of CM include ulcers, skin abscesses, single pustules, crusted erythematous lesions, and dry asymmetric erythematous flat lesions[ 13 , 14 ]. CM is often misdiagnosed as other diseases in non-endemic areas, because the skin manifestations and histologic results of CM are non-specific[ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Multi-systemic melioidosis in a patient with type 2 diabetes in non-endemic areas: A case report and review of literature

Ni,

Zhang,

Huang

et al. 2024

World J Clin Cases

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BACKGROUND Melioidosis, an infectious disease caused by Burkholderia pseudomallei (B. pseudomallei ), occurs endemically in Southeast Asia and Northern Australia and is a serious opportunistic infection associated with a high mortality rate. CASE SUMMARY A 58-year-old woman presented with scattered erythema on the skin of her limbs, followed by fever and seizures. B. pseudomalle i was isolated successively from the patient’s urine, blood, and pus. Magnetic resonance imaging showed abscess formation involving the right forehead and the right frontal region. Subsequently, abscess resection and drainage were performed. The patient showed no signs of relapse after 4 months of follow-up visits post-treatment. CONCLUSION We present here a unique case of multi-systemic melioidosis that occurs in non-endemic regions in a patient who had no recent travel history. Hence, it is critical to enhance awareness of melioidosis in non-endemic regions.

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Section: Discussionmentioning

confidence: 99%

Multi-systemic melioidosis in a patient with type 2 diabetes in non-endemic areas: A case report and review of literature

Ni,

Zhang,

Huang

et al. 2024

World J Clin Cases

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“…Moreover, if organisms are encountered frequently, MALDI-TOF can accurately identify most closely related species. However, MALDI-TOF is currently unable to differentiate E. coli from Shigella, Burkholderia mallei/pseudomallei and Burkholderia cepacia complex, Enterobacter cloacae complex, as well as the Mycobacterium tuberculosis complex ( 7 , 8 , 17 , 18 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

Comparison of automatic methods MALDI-TOF, VITEK2 and manual methods for the identification of intestinal microbial communities on the example of samples from alpacas (Vicugna pacos)

Pławińska-Czarnak,

Wódz,

Strzałkowska

et al. 2023

Journal of Veterinary Research

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Introduction Universally, in microbiological diagnostics the detection of live bacteria is essential. Rapid identification of pathogens enables appropriate remedial measures to be taken. The identification of many bacteria simultaneously facilitates the determination of the characteristics of the accompanying microbiota and/or the microbiological complexity of a given environment. Material and Methods The effectiveness of the VITEK2 Compact automated microbial identification system and matrix-assisted laser desorption/ionization–time-of-flight mass spectrometry (MALDI-TOF MS), analytical profile index (API) and Remel RapID tests were compared in identification of bacteria isolated from the alpaca gastrointestinal tract. Results Most isolates were Gram-positive, such as Bacillus cereus, Bacillus flexus, Bacillus licheniformis, Bacillus pumilus and Bacillus subtilis; Enterococcus faecium, Enterococcus gallinarum, Enterococcus hirae and Enterococcus casseliflavus; Staphylococcus aureus, Staphylococcus equorum, Staphylococcus lentus, Staphylococcus pseudintermedius and Staphylococcus sciuri; Paenibacillus amylolyticus; Cellulosimicrobium cellulans; Leuconostoc mesenteroides; Clostridium perfringens; Corynebacterium stationis, Corynebacterium xerosis, and Corynebacterium diphtheriae (the last only isolated manually by API Coryne and the VITEK2 system and Corynebacteria (CBC) card). Corynebacterium diphtheriae was misidentified by MALDI-TOF MS as Candida lipolytica (currently Yarrowia lipolytica). Gram-positive and Gram-variable Micrococcus luteus were also isolated. Gram-negative Enterobacter cloacae, Enterobacter gergoviae, Enterobacter hormaechei and Enterobacter ludwigii; E. coli; Klebsiella pneumoniae subsp. pneumoniae; Citrobacter braakii and Citrobacter freundii; Serratia liquefaciens, Serratia odorifera and Serratia marcescens; Morganella morganii subsp. morganii; Providencia alcalifaciens; Pseudomonas aeruginosa; Stenotrophomonas maltophilia; Moraxella osloensis; and Ochrobactrum intermedium were also found. The yeasts Candida albicans, Candida haemulonii and Candida ciferrii were also present. Conclusion MALDI-TOF MS enabled the identification of pathogens and opportunistic pathogens from the alpaca gut which may represent a high risk to human and animal health.

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“…Patients with melioidosis can get various types of skin lesions as well as skin abscesses [9]. There are cases reported with Sweet syndrome and erythema nodosum associated with melioidosis [10,11].…”

Section: Discussionmentioning

confidence: 99%

A rare case of meliodosis presenting as lupus panniculitis with intermittent fever

Abeyrathne,

Azher,

Sendhira

et al. 2023

J. Postgrad. Inst. Med.

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Primary cutaneous melioidosis acquired in Nepal – Case report and literature review

Cited by 7 publications

References 18 publications

Multi-systemic melioidosis in a patient with type 2 diabetes in non-endemic areas: A case report and review of literature

Multi-systemic melioidosis in a patient with type 2 diabetes in non-endemic areas: A case report and review of literature

Comparison of automatic methods MALDI-TOF, VITEK2 and manual methods for the identification of intestinal microbial communities on the example of samples from alpacas (Vicugna pacos)

A rare case of meliodosis presenting as lupus panniculitis with intermittent fever

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