Melioidosis

Presentations

Appropriate 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, MCS sputum, Wound swab, Throat swab, Rectal swab, urine (males) or tissue biopsy; Burkholderia pseudomallei Ab 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.