Volume 19, Number 10—October 2013
Dispatch
Melioidosis in Traveler from Africa to Spain
Table
Characteristics of reported cases of human melioidosis with African origin*
Patient age, y/sex | Area visited/ diagnosed | Sample type | Final treatment | Outcome | Clinical risk factors | Possible source | Method of identification† | Reference |
---|---|---|---|---|---|---|---|---|
64/M | Kenya/Denmark | Blood, urine, sputum | TET+SXT | Recovered | Pulmonary tuberculosis | NR | Serology | (3) |
12/F | Sierre Leone/The Gambia/ | Bony abscesses | CMP+TET | No follow-up | NR | NR | Serology | (4) |
40/F | Mauritius | Blood | CTX+MDZ | Died | SLE | Rainy season | API 20NE | (5) |
58/M | Madagascar/La Réunion (France) | Sputum | IMI | Recovered | NR | Unknown | API 20NE, serology, PCR | (6) |
29/M | The Gambia, Guinea Bissau, Senegal]/Spain | Soft tissue abscesses | CAZ+SXT | Recovered | Hepatitis Diabetes | Rainy season | Vitek II System, API 20NE, PCR | (7) |
46/F | Nigeria/United Kingdom | Blood | MER | No follow-up | Diabetes | Trip to Nigeria | Chromatography, PCR | (8) |
60/M | NR/France | Blood | IMI+CIP | Recovered | NR | Unknown | NR | (9) |
35/F | Madagascar, West Africa/Spain | Blood | CAZ+DOX | Recovered | None | Goat raw milk ingestion | WIDER System, API 20NE, serology, PCR, MLST | This study |
*TET, tetracycline; SXT, cotrimoxazole; NR, not reported; CMP, chloramphenicol; CTX, cefotaxime; MDZ, metronidazole; SLE, systemic lupus erythematosus; IMI, imipenem; CAZ, ceftazidime; MER, meropenem; CIP, ciprofloxacin; DOX, doxycycline; MLST, multilocus sequence typing.
†API 20NE, bioMérieux, Marcy l’Étoile, France; Vitek II System, bioMérieux; WIDER system (Fco. Soria-Melguizo, Madrid, Spain).
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