Volume 11, Number 10—October 2005
Letter
Melioidosis in Tsunami Survivors
Table
Clinical details of pneumonia patients after tsunami in Banda Aceh, Indonesia, January 2003*
Patient no. | Age (y)/sex | Radiograph results | Complications | Microbiologic test results | Days before treatment | Antimicrobial drug | Acute outcome |
---|---|---|---|---|---|---|---|
1 | 7/M | Bilateral infiltrates | Cavitation | No cultures taken | 19 | Meropenem | Fever resolved, improving @30 days |
2 | 12/M | Bilateral infiltrates | Pseudomonas aeruginosa (sputum) | 37 | Meropenem | Serious but stable @12 days | |
3 | 5/M | Unilateral infiltrates | Cavitation | No cultures taken | 10 | Meropenem | Fever resolved, improving @39 days |
4 | 15/F | Bilateral infiltrates | Pneumothorax, empyema | Burkholderia pseudomallei (sputum) | 27 | Meropenem 2 wks, then oral TMP-SMX and coamoxiclav | Fully recovered, discharged @20 days |
5 | 14/M | Bilateral infiltrates | P. aeruginosa (sputum) | 35 | Meropenem | Improving @11 days | |
6 | 6/M | Bilateral infiltrates | P. aeruginosa (sputum) | 30 | Meropenem | Improving @19 days | |
7 | 18 mo/M | Bilateral infiltrates | Empyema | B. pseudomallei (pleural fluid) | 30 | Meropenem | Improving @23 days |
8 | 10/F | Bilateral infiltrates | Empyema | P. aeruginosa B. pseudomallei Klebsiella sp. (pleural fluid) | 30 | Meropenem | Improving @23 days |
9 | 13/F | Bilateral infiltrates | P. aeruginosa B. pseudomallei (sputum) | 33 | Meropenem | Improving @18 days | |
10 | 17/F | Unknown | Unknown | Nocardia spp. (sputum) | 21 | Ticarcillin/clavulanate, ciprofloxacin | Not improving, outcome unknown @12 days |
*ICU, intensive care unit; TMP-SMX, trimethoprim-sulfamethoxazole.