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Volume 22, Number 8—August 2016

Cutaneous Melioidosis Cluster Caused by Contaminated Wound Irrigation Fluid

Adam J. Merritt, Mariani Peck, Dionne Gayle, Avram Levy, Yi-Horng Ler, Edward Raby, Tristan M. Gibbs, and Timothy J.J. InglisComments to Author 
Author affiliations: PathWest Laboratory Medicine, Nedlands, Western Australia, Australia (A.J. Merritt, M. Peck, D. Gayle, A. Levy, Y.-H. Ler, T.M. Gibbs, T.J.J. Inglis); University of Western Australia, Crawley, Western Australia, Australia (A.J. Merritt, T.J.J. Inglis); Royal Perth Hospital, Perth, Western Australia, Australia (E. Raby)

Main Article


Summary characteristics of a cutaneous melioidosis cluster caused by contamination of wound irrigation fluid, Western Australia, 2012–2013*

Isolate source
Date of collection
Pathology request notes
Patient A Wound 2012 Jan 20 Cellulitis (left shin and toe), unresponsive to first-line antibiotics 2.6 BTFC 1112
Patient B Pulmonary 2012 Mar 30 Cough and shortness of breath, fine needle aspirate of lung lesion, fever and chills afterwards 2.476 YLF 84
Patient C Wound 2013 Sep 25 Purulent, dehiscing wound at site of lesion removed 1 month previously 2.61 BTFC 1112
Patient D Wound 2013 Nov 12 Leg injury, slough 2.376 BTFC 1112
Patient E Wound 2013 Nov 29 Cellulitis (left shin), worsening despite first-line antibiotics 2.146 BTFC 1112
Patient F Wound 2013 Dec 05 Nonhealing wound (right forearm) 2.394 BTFC 1112
Patient G Wound 2013 Dec 13 Wound sustained in QLD, swabbed to check for cutaneous melioidosis 2.7 BTFC 1112
Patient H Pulmonary† and cutaneous 2013 Dec 20 Subgaleal abscess pus 2.211 YLF 176
Saline Wound irrigation fluid 2013 Dec 20 NA 2.3 BTFC 1112

*Patients ordered by date of specimen collection. Isolates from patients B and H have sequence types previously documented in Southeast Asia. BTFC, B. thailandensis–like flagellar gene cluster; MALDI-TOF MS, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; MLST, multilocus sequence typing; NA, not applicable; QLD, Queensland; ST, sequence type; YLF, Yersinia-like fimbrial gene cluster.
†Molecular detection only; no isolate recovered.

Main Article

Page created: July 08, 2016
Page updated: July 08, 2016
Page reviewed: July 08, 2016
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