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Indian Pediatr 2011;48: 161 |
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Systemic Melioidiosis |
Edwin Dias and Meena Dias,*
Departments of Pediatrics and Microbiology,* KVG
Institute of Medical Sciences, Sullia; and *Father Muller’s Medical
College, Mangalore; Karnataka, India.
Email: [email protected]
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There are certain comments regarding a recent article regarding
Melioidiosis [1]. Burkholderia Pseudomallei has been described as a
Vietnamese time bomb’ý and is considered as a potential biological
weapon. Despite disputes regarding the etiology of Plague in Maharashtra
and Gujarat in 1994, the likely etiology was B. pseudomallei [2].
We have reported around 20 cases in a span of 4 years. Most of the
published data on Melioidiosis comes from the coastal areas mainly Kerala,
Karnataka, Maharashtra and Pondicherry [3-5] and most of the patients were
diabetics. The infection is usually seen during the mmelioidiosis,
prophylactic ceftazidime is advisable for the treatment as the infection
may lead to septicemia and may have bad prognosis. In the laboratory,
bipolar, gram negative bacilli should arouse the suspicion of B.
Pseudomallei. Wrinkled, pinkish colonies on McConkey’s agar which are
oxidase positive should be tested for gentamicin, and polymyxin B, as the
bacilli is resistant to both.
References
1. Shivabalan SO, Reddy N, Tiru V, Thomas K. Systematic
melioidosis presenting as suppurative parotitis. Indian Pediatr.
2010:47;799-801.
2. Bharadwaj R, Kagal A, Deshpandey SK. Outbreak of
plague like illness caused by Pseudomonas Pseudomallei in
Maharashtra, India. Lancet. 1994;344:1574.
3. Kanungo R, Padhan P, Bhattacharya S, Srimannarayan
J, Jayanthi S, Swaminathan RP. Melioidosis: A report from Pondicherry,
South India. J Assoc Physicians India. 2002;50:1438-9.
4. Vidyalakshmi K, Shrikala B, Bharathi B,Suchitra U.
Melioidosis: An under diagnosed entity in Western coastal India; A clinico
microbiological analysis. Indian J Med Microbiol.
2007;25:245-8.
5. Antony B, Pinto H, Dias M, Shetty AK, Scaria B,
Kuruvilla T, et al. Spectrum of melioidosis in the suburbs of
Mangalore, S West coast of India. Southeast Asian JTrop Med Public Health.
2010:41;1-6.
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