201. Severe community-acquired pneumonia and sepsis caused by Burkholderia pseudomallei associated with flooding in Puerto Rico.
- Author
-
Christenson B, Fuxench Z, Morales JA, Suárez-Villamil RA, and Souchet LM
- Subjects
- Anti-Bacterial Agents therapeutic use, Community-Acquired Infections diagnosis, Community-Acquired Infections drug therapy, Disasters, Fatal Outcome, Female, Humans, Melioidosis diagnosis, Melioidosis drug therapy, Middle Aged, Pneumonia, Bacterial diagnosis, Pneumonia, Bacterial drug therapy, Puerto Rico, Respiration, Artificial methods, Sepsis diagnosis, Sepsis drug therapy, Burkholderia pseudomallei isolation & purification, Community-Acquired Infections microbiology, Melioidosis microbiology, Pneumonia, Bacterial microbiology, Sepsis microbiology
- Abstract
Burkholderia pseudomallei (melioidosis) is usually found in endemic areas of Southeast Asia and Northern Australia. However, a few cases of confirmed melioidosis indigenous to Puerto Rico and the Americas have been reported previously. We describe the occurrence of a B. pseudomallei infection in a female with insulin-dependent diabetes mellitus exposed to flood waters in Puerto Rico. We conclude that B. pseudomallei should be considered a potential pathogen in high-risk patients with severe community-acquired pneumonia and sepsis in Puerto Rico especially in individuals exposed to flood waters during rainy seasons. A more thorough epidemiologic and microbiologic surveillance with environmental sampling may be warranted in the island.
- Published
- 2003