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melioidosis
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melioidosis

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Also known as Tsunami lung, Melioidosis, unspecified (disorder), Nightcliff gardener's disease, Pseudoglanders, Pseudoglanders (disorder), Whitmore's disease, acute and fulminating melioidosis, subacute and chronic melioidosis

Melioidosis is an infectious disease caused by a gram-negative bacterium called Burkholderia pseudomallei. Most people exposed to B. pseudomallei experience no symptoms, but complications can range from fever and skin changes to pneumonia, abscesses, and septic shock, which can be fatal. Approximately 10% of people with melioidosis develop symptoms that last longer than two months, termed "chronic melioidosis".

Key facts

Medical condition.name
Melioidosis
Medical condition.image
One of the melioidosis abscesses on the abdomen.jpg
Medical condition.image_size
220px
Medical condition.caption
Melioidosis abscess on the abdomen
Medical condition.symptoms
None, fever, pneumonia, multiple abscesses
Medical condition.complications
Encephalomyelitis, septic shock, acute pyelonephritis, septic arthritis, osteomyelitis
Medical condition.onset
1–21 days after exposure
Medical condition.causes
Burkholderia pseudomallei spread by contact to soil or water
Medical condition.risks
Diabetes mellitus, thalassaemia, alcoholism, chronic kidney disease
Medical condition.diagnosis
Growing the bacteria in culture mediums
Medical condition.differential
Tuberculosis
Medical condition.prevention
Prevention from exposure to contaminated water, antibiotic prophylaxis
Medical condition.treatment
Ceftazidime, meropenem, trimethoprim/sulfamethoxazole
Medical condition.frequency
165,000 people per year
Medical condition.deaths
89,000 people per year

via Wikipedia infobox

Research

4,031 papers

via PubMed

~51 min read

Encyclopedic overview

31 sections
Contents
  • Signs and symptoms
  • Acute
  • Chronic
  • Latent
  • Cause
  • Bacteria
  • Transmission
  • Pathogenesis
  • Diagnosis
  • Culture
  • Hematological and biochemical tests
  • Serological tests
  • Microscopy
  • Imaging
  • Prevention
  • Antibiotic prophylaxis
  • Vaccination
  • Treatment
  • Intensive phase
  • Eradication phase
  • Surgery
  • Others
  • Prognosis
  • Epidemiology
  • Geography
  • Age, risk factors
  • History
  • Synonyms
  • Biological warfare
  • References
  • External links

Melioidosis is an infectious disease caused by a gram-negative bacterium called Burkholderia pseudomallei. Most people exposed to B. pseudomallei experience no symptoms, but complications can range from fever and skin changes to pneumonia, abscesses, and septic shock, which can be fatal. Approximately 10% of people with melioidosis develop symptoms that last longer than two months, termed "chronic melioidosis".

Prior to the Vietnam war less than a handful of patients had diagnosed in the United States in the twentieth century. In 1966, Spotnitz discovered that a number of servicemen with delayed onset of pulmonary infections had previously been deployed in Vietnam. Spotnitz coined the term "Vietnam Time Bomb" to highlight the fact that B. pseudomallei could remain dormant for years. The term gained traction as subsequent studies revealed latent infections in Vietnam veterans with estimates suggesting up to 250,000 U.S. soldiers were exposed. Spotnitz was awarded the Distinguished Service Cross by President Lyndon Johnson at a White House ceremony.

Excerpted from Wikipedia’s “melioidosis” article, available under the CC BY-SA 4.0 licence.

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