Melioidosis in Costa Rica: report of the first case
DOI:
https://doi.org/10.51481/amc.v42i3.573Abstract
Melioidosis in an infectious disease caused by Burkholderia pseudomallei. This disease is endemic in areas of tropical Asia and Australia; there have been isolated reports of the disease in Central and South America. Here we report the first documented case of Melioidosis in Costa Rica in a patient without a history of traveling to endemic areas. The patient was seen at the hospital because of sepsis and a community acquired bronchopneumonia. Due to the rareness of this bacterial isolation in our country the corroboration ofthe diagnosis was delayed and subsequently the specific antibiotics were started 5 days later after the admission, this could have influenced the torpid evolution the patient had. This case should alert us and points to the need of including this rare disease in the differential diagnosis of community acquired sepsis in our country.
Downloads
References
Mandel D and Bennett's. Principles and practice of infections diseases, foulth editions 1995; 2003-2005.
Woods A, Jones A, Hill P. Interaction of insulin with Psedomonas Pseudomaliei. Infection and Inmunity 1993: 61, ( 10): 4045-4050.
Egan A, Gordon D. Burholderia pseudomallei activates complement and is ingested but not killed by polimorphonuclear leukocytes. Infection and Inmunity 1996; 64 (12): 4952-4959.
Chowagul W, Suputtamongkol Y, Dance DA, Rajchanuvong A. White NJ. Relapse in Melioidosis: Incidence and risk Factor. The journal of infections Diseases 1993; 168: 1181-1185.
Chowagul W, White N, Dance D, Yupaporn W, Pimjai N, Davis T, Pitakwatchara N. Melioidosis a mayor cause of conmunity-acqui septicemia in northeaster Thailand. The journal of Infections dise 1989; 159, (51989): 890-899.
Leelarasamee AB. Melioidosis. Reviews of infections disease 1989; 11. 413425.
Lieberman A, Grossman M, Bloomgarden D. Sporotrichoid lymph gitis due to Staphylococus aureus in a diabetic patient; Clinical infec tious diseases 1995, Vol. 21. 433-434.
Koch FW, Zoller M, Pankow W, Kohnl FV, Kuchler R. An cute sep Course of Melioidosis after a stay in Thailand. Disch.Med.Wochensc 1997: 122: 122-6.
Koth KB. Melioidosis presenting as epididymo orchtis. Singapore M Journal 1995; 36: 446.
Wong PK. Melioidosis presenting with orbital cellulitis. Singapure Med Journal 1996; 37: 220-201,
Jones A, Beveridge T, Woods D. Intracellular survival of Burkholderia pseudomallei. Infection and Inmunity 1996; 64 (3): 782-790.
Egan AM, Gordon DL. Burholderia pseudomallie activates complement and is ingested but not killed by polymorphonuclear leukocytes, infect inmun 1996; 64: 4952-4959.
Scott IA, Bell AM, Staines DR. Fatal human melioidosis in south eastern Queenstand. Med Journal Aust. 1997; 166: 197-9.
Walsh AL, Wuthiekanun V. The laboratory diagnosis of Melioidosis. Br. Journal Biomed Sci. 1996; 53: 249-53.
White NJ, Chowagul W, Dance D, Wattanagoon Y, Wuthiekanum V, Pi-
takwatchara N. Haliving of mortality of severe Melioidosis by ceftazidime. The Lancet, 1989: 697-700.
Chaowagul W. Melioidosis, a treament challenge. Scand J Infections disease suppl 1996; 101: 14-20.
Wong KT, Vadiveln J, Puthucheary SD,Tan KL. An immunihistochemical method for the diagnosis of Melioidosis. Pathology 1996; 28: 188-91.
Dharakull T, Songsivilat S, Anuntagool N, Chaowagul W, Wongbunnate S, Sirisinha S. Diagnsotic value of an antibody enzyme-linked inmunosorbent assay using affinity-purified antigen in an area endemic for Melioidosis. Am J Trop Med Hyg 1997: 56:418-23.
Rattamathongkom A, Sermswan RW. Wongratanacheewin S. Detection of Burholderia pseudomallei in blood samples using polymerase chain reaction. Mol-cell-Probes 1997; I l: 25-31.
Dhrakull T, Songsivilal S, Viriyachiltra S, Luangwedcharkarn V. Tassaneetritap B, Chaowagul W. Detection of Burkholderia pseudomadei DNA in patientswith septisemic Melioidosis. Journal Clin Microbiol 1996; 34: 609-14.
Wuthiekanun V, Smith MD, Dance DA, Walh AL, Piti TL. White NJ. Biochemical Characteristics of clinical and environmental isolates of Burholderia pseudomallei. Journal Med Microbiol 1996: 45: 408-412.
Phung LV, Han Y, Oka S, Hotta H, Smith MD, Theeparakum P, Yabuuchi E, Yano L. Enzyme linked inmunosorbent assay (ELISA) using a glicolipid antigen for the serodiagnosis of Melioidosis. Fems inmunol Med Micribiol 1995; 12: 259-264.
Downloads
Published
Issue
Section
License
Copyright (c) 2009 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
