Cutaneous Melioidosis in Adolescent Returning from Guadeloupe

Autor: Beatrice Pangon, David Khau, Roderich Meckenstock, Stéphanie Marque-Juillet, Sebastian Monnier, Audrey Therby, Alix Greder-Belan
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Emerging Infectious Diseases
Emerging Infectious Diseases, Vol 18, Iss 2, Pp 359-360 (2012)
ISSN: 1080-6059
1080-6040
Popis: To the Editor: Melioidosis is an emerging zoonosis caused by a highly invasive and drug-resistant bacterium, Burkholderia pseudomallei, that is found in soil and is endemic to Southeast Asia and the Pacific region. Few cases occur in other regions (most imported by travelers) (1–5), but sporadic cases have originated from the Caribbean (6–8). Melioidosis can manifest many years after exposure to B. pseudomallei and can cause severe, systemic infection, including multiple abscesses of internal organs and skin. A less severe manifestation, primary cutaneous melioidosis, causes skin lesions and milder clinical illness. We describe an adolescent patient who had a benign, cutaneous form of melioidosis; she had recently returned to France from Guadeloupe, a Caribbean archipelago. A 15-year-old girl without a medical history, except for asthma, was evaluated in September 2010 for muscle weakness, weight loss of 15%, cough, and fever >40°C. During a trip to Guadeloupe 3 weeks before, she had been infected by dengue virus, along with her brother and father, who recovered rapidly. Treatment with amoxicillin and clavulanic acid was started after her return to France, despite the lack of a clear diagnosis, and induced a slight decrease in fever. Clinical examination showed a body mass index
Databáze: OpenAIRE
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