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Læknablaðið - 01.02.2014, Qupperneq 25

Læknablaðið - 01.02.2014, Qupperneq 25
LÆKNAblaðið 2014/100 89 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. Heimildir 1. Whitmore A, Krishnaswani CS. An account of the discovery of a hitherto undescribed infective disease occ- urring among the population of Rangoon. Indian Medical Gazette 1912; 47: 262-7. 2. White NJ. Melioidosis Seminar. Lancet 2003; 361: 1714-22. 3. Cheng AC, Currie BJ. Melioidosis: Epidemiology, Pathopysiology, and Management. Clin Microbiol Rev 2005; 18: 383-416. 4. Currie BJ. Melioidosis: an important cause of pneumonia in residents of and travellers returned from endemic regions. Eur Respir J 2003; 22: 542-50. 5. Currie, BJ. Burkholderia pseudomallei and Burkholderia mallei: Melioidosis and Glanders. Mandell: Mandell, Douglas and Bennett´s Principles and Practice of Infectious Diseases 7th ed. 2010; 2869-77. 6. Currie BJ, Fischer DA, Howard DM, Burrow JNC, Selvanayagam S, Snelling et al. The epidemiology of melioidosis in Australia and Papua New Guinea. Acta Trop 2000; 74: 121-7. 7. Rubin HL, Alexander AD, Yager RH. Melioidosis –a military problem? Mil Med 1963; 128: 538-42. 8. Easton A, Haque A, Chu K, Lukaszewski R, Bancroft G. A critical role for neutrophils in resistance to experimental infection with Burkholderia pseudomallei. J Infect Dis 2007; 195: 99-107. 9. Kronmann KC, T ruett AA, Braden RH, Crum-Cianflone NF. Melioidosis after brief exposure: A serologic survey in US Marines. Am J Trop Med Hyg 2009; 80: 182-4. 10. Gibney KB, Cheng AC, Currie BJ. Cutaneous Melioidosis in th Tropical Top End of Australia: A Prospective Study and Review of the Literature. Clin Infect Dis 2008; 47: 603- 9. 11. Peacock SJ, Chieng G, Cheng AC, Dance DA, Amornchai P, Wongsuvan G, et al. Comparison of Ashdown‘s medium, Burkholderia cepacia medium, and Burkholderia pseudo- mallei selective agar for clinical isolation of Burkholderia pseudomallei. J Clin Microbiol 2005; 43: 5359-61. 12. Inglis TJJ. Comparison of Diagnostic Laboratory Methods for Identification of Burkholderia pseudomallei. J Clin Microbiol 2005; 43: 2201-6. 13. Suputtamongkol Y, Chaowagul W, Chetchotisakd P, Lertpatanasuwun N, Intaranongpai S, Ruchutrakool P, et al. Risk Factors for Melioidosis and Bacteremic Melioidosis. Clin Infect Dis; 1999; 29: 408-13. 14. Limmathurotsakul D, Chaowagul W, Day NPJ, Peacock SJ. Patterns of Organ Involvement in Recurrent Melioidosis. Am J Trop Med Hyg 2009; 81: 335-7. 15. Hodgson G, Engler C et al. Comparison of Routine Bench and Molecular Diagnostic Methods in Identification of Burkholderia pseudomallei. J Clin Microbiol 2009; 43: 1578-80. 16. Center for Disease Control and Prevention. Laboratory exposure to Burkholderia pseudomallei-Las Angeles, California. MMWR Morb Mortal Wkly Rep 2004; 53: 988- 90. S J Ú k R a T i l F E l l i
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