Misidentification of Burkholderia pseudomallei as Acinetobacter species in northern Thailand

Trans R Soc Trop Med Hyg. 2019 Jan 1;113(1):48-51. doi: 10.1093/trstmh/try108.

Abstract

Background: Burkholderia pseudomallei is the causative agent of melioidosis, a disease endemic throughout the tropics.

Methods: A study of reported Acinetobacter spp. bacteraemia was performed at Chiang Rai provincial hospital from 2014 to 2015. Isolates were collected and tested for confirmation.

Results: A total of 419 putative Acinetobacter spp. isolates from 412 patients were re-identified and 5/419 (1.2%) were identified as B. pseudomallei. Four of the five patients with melioidosis died. An estimated 88/419 (21%) isolates were correctly identified as Acinetobacter spp.

Conclusions: Misidentification of Acinetobacter spp. as B. pseudomallei or other bacteria is not uncommon and programmes to address these shortfalls are urgently required.

Publication types

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

MeSH terms

  • Acinetobacter / growth & development*
  • Acinetobacter / isolation & purification
  • Adult
  • Aged
  • Bacterial Typing Techniques*
  • Burkholderia pseudomallei / growth & development*
  • Burkholderia pseudomallei / isolation & purification
  • Diagnostic Errors*
  • Fatal Outcome
  • Humans
  • Male
  • Melioidosis / diagnosis*
  • Melioidosis / microbiology
  • Middle Aged
  • Thailand