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ENGLISH SUMMARY
We report the first four cases of Melioidosis treated in Iceland and
review the literature. Melioidosis is caused by the saprophytic Gram
negative bacteria Burkholderia pseudomallei. Most disease occurs in
residents of Southeast-Asia and North-Australia. The most common pre-
sentation of Melioidosis is pneumonia but as these cases demonstrate
the infection has protean manifestations and B. pseudomallei can infect
nearly every organ. It is important to notify the laboratory of the possi-
bilty of Melioidosis as the bacteria can be difficult to identify and poses
an infection risk to laboratory staff. Also, B. pseudomallei is resistant to
many of the antibiotics normally used to treat pneumonia and due to its
intracellular persistance requires prolonged therapy.
Melioidosis, first four cases in iceland
Gudmundsdottir Th1, Asgeirsson H1, Hardarson HS2, Thorisdottir AS1,3
key words: Burkholderia pseudomallei, Melioidosis, vertebral osteomyelitis, splenic abscesses, pneumonia.
Correspondance: Anna S. Þórisdóttir annathor@landspitali.is
1Landspitali University Hospital Iceland, 2Dept. of Medicine; Dept. of Clinical Microbiology; 3Dept. of Infectious Diseases.
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