In 2019, Burkholderia pseudomallei was isolated from the backyard of 2 siblings with melioidosis in Kerala, India. This finding highlights the value of healthcare providers being aware of risk for melioidosis in febrile patients, of residents taking precautions when outside, and of increasing environmental surveillance for B. pseudomallei in this region.
Keywords: Burkholderia pseudomallei; India; Kerala; Melioidosis; bacteria; environmental surveillance; lymphadenitis; sepsis.