Melioidosis

Last updated: Monday, 20, December, 2010
PresentationsAppropriate Tests

Endemic in SE Asia and northern Australia.

The clinical illness may be acute, sub-acute or chronic; reactivation of latent infection may occur. Localised infection may progress rapidly to septicaemia.

Blood culture, sputum microscopy and culture, wound swab, throat swab, rectal swab, urine (males) or tissue biopsy; Burkholderia pseudomallei antibodies are of only limited clinical utility.

Acute

Wound infection

Pneumonia

Septicaemia

Chronic

Abscess

Common sites include skin, lymph node, bone, brain, lung, myocardium and liver.

Lung infection 

Chronic cavitating infection, which may be difficult to distinguish clinically from tuberculosis.