Fatal bacteremic melioidosis in patients with prolonged neutropenia

Diagn Microbiol Infect Dis. 2016 Mar;84(3):258-60. doi: 10.1016/j.diagmicrobio.2015.11.004. Epub 2015 Nov 10.

Abstract

Melioidosis, an infection with an expanding geographic range, is extremely rare in neutropenic patients. We report bacteremic melioidosis (ST-70 and ST-660) in 2 patients with prolonged neutropenia, who succumbed despite appropriate antibiotics. Clinicians should be aware of this emerging infection in neutropenic patients residing in or returning from endemic areas.

Keywords: Bacteremia; Burkholderia pseudomallei; Melioidosis; Prolonged neutropenia.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / diagnosis
  • Bacteremia / drug therapy
  • Bacteremia / etiology*
  • Burkholderia pseudomallei* / isolation & purification
  • Fatal Outcome
  • Humans
  • Lung / pathology
  • Male
  • Melioidosis / diagnosis
  • Melioidosis / drug therapy
  • Melioidosis / etiology*
  • Middle Aged
  • Neutropenia / complications*
  • Neutropenia / etiology
  • Radiography, Thoracic

Substances

  • Anti-Bacterial Agents