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Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report

RATIONALE: Melioidosis is an emerging infectious disease in Brazil and caused by Burkholderia pseudomallei, with high morbidity and mortality rates. A total of 28 melioidosis cases were reported in Brazil until 2015. The majority of melioidosis cases were reported in the Northwest region of Brazil a...

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Autores principales: Volpe-Chaves, Cláudia Elizabeth, Rodrigues, Ana Cláudia Souza, Lacerda, Mara Luci Gonçalves Galiz, de Oliveira, Caroline Tieppo Flores, Castilho, Suse Barbosa, Franciscato, Caroline, Santos, Ivson Cassiano de Oliveira, Assef, Ana Paula D’alincourt Carvalho, Roever, Leonardo, de Oliveira, Sandra Maria do Valle Leone, Paniago, Anamaria Mello Miranda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494395/
https://www.ncbi.nlm.nih.gov/pubmed/31008955
http://dx.doi.org/10.1097/MD.0000000000015235
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author Volpe-Chaves, Cláudia Elizabeth
Rodrigues, Ana Cláudia Souza
Lacerda, Mara Luci Gonçalves Galiz
de Oliveira, Caroline Tieppo Flores
Castilho, Suse Barbosa
Franciscato, Caroline
Santos, Ivson Cassiano de Oliveira
Assef, Ana Paula D’alincourt Carvalho
Roever, Leonardo
de Oliveira, Sandra Maria do Valle Leone
Paniago, Anamaria Mello Miranda
author_facet Volpe-Chaves, Cláudia Elizabeth
Rodrigues, Ana Cláudia Souza
Lacerda, Mara Luci Gonçalves Galiz
de Oliveira, Caroline Tieppo Flores
Castilho, Suse Barbosa
Franciscato, Caroline
Santos, Ivson Cassiano de Oliveira
Assef, Ana Paula D’alincourt Carvalho
Roever, Leonardo
de Oliveira, Sandra Maria do Valle Leone
Paniago, Anamaria Mello Miranda
author_sort Volpe-Chaves, Cláudia Elizabeth
collection PubMed
description RATIONALE: Melioidosis is an emerging infectious disease in Brazil and caused by Burkholderia pseudomallei, with high morbidity and mortality rates. A total of 28 melioidosis cases were reported in Brazil until 2015. The majority of melioidosis cases were reported in the Northwest region of Brazil and such cases were not previously detected in the Midwest region of Brazil. PATIENT CONCERNS: A 42-year-old man was admitted with a non-productive cough, dyspnea, myalgia, diffuse abdominal pain. Pulmonary auscultation revealed a vesicular murmur, snoring sounds, and the presence of basal crackling rales in the left hemithorax. The patient evolved with several respiratory failures and he was diagnosed as the first case of community-acquired pneumonia with sepsis caused by B pseudomallei in Mato Grosso do Sul, Midwest state of Brazil. DIAGNOSIS: The cell isolates were subjected to 16S rRNA gene sequencing to confirm the bacterial species. INTERVENTIONS: Administration of trimethoprim/sulfamethoxazole and meropenem stabilized the clinical condition of the patient. Subsequently upon discharge, the patient was also treated with trimethoprim/sulfametothoxazole for a year. OUTCOME: We reported the first case of community-acquired pneumonia with sepsis caused by B pseudomallei in Mato Grosso do Sul, Midwest state of Brazil and the patient survived. LESSONS: The emergence of melioidosis in the Midwest region is being neglected and underestimated and melioidosis must be considered of the differential diagnosis in community infections.
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spelling pubmed-64943952019-05-29 Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report Volpe-Chaves, Cláudia Elizabeth Rodrigues, Ana Cláudia Souza Lacerda, Mara Luci Gonçalves Galiz de Oliveira, Caroline Tieppo Flores Castilho, Suse Barbosa Franciscato, Caroline Santos, Ivson Cassiano de Oliveira Assef, Ana Paula D’alincourt Carvalho Roever, Leonardo de Oliveira, Sandra Maria do Valle Leone Paniago, Anamaria Mello Miranda Medicine (Baltimore) Research Article RATIONALE: Melioidosis is an emerging infectious disease in Brazil and caused by Burkholderia pseudomallei, with high morbidity and mortality rates. A total of 28 melioidosis cases were reported in Brazil until 2015. The majority of melioidosis cases were reported in the Northwest region of Brazil and such cases were not previously detected in the Midwest region of Brazil. PATIENT CONCERNS: A 42-year-old man was admitted with a non-productive cough, dyspnea, myalgia, diffuse abdominal pain. Pulmonary auscultation revealed a vesicular murmur, snoring sounds, and the presence of basal crackling rales in the left hemithorax. The patient evolved with several respiratory failures and he was diagnosed as the first case of community-acquired pneumonia with sepsis caused by B pseudomallei in Mato Grosso do Sul, Midwest state of Brazil. DIAGNOSIS: The cell isolates were subjected to 16S rRNA gene sequencing to confirm the bacterial species. INTERVENTIONS: Administration of trimethoprim/sulfamethoxazole and meropenem stabilized the clinical condition of the patient. Subsequently upon discharge, the patient was also treated with trimethoprim/sulfametothoxazole for a year. OUTCOME: We reported the first case of community-acquired pneumonia with sepsis caused by B pseudomallei in Mato Grosso do Sul, Midwest state of Brazil and the patient survived. LESSONS: The emergence of melioidosis in the Midwest region is being neglected and underestimated and melioidosis must be considered of the differential diagnosis in community infections. Wolters Kluwer Health 2019-04-19 /pmc/articles/PMC6494395/ /pubmed/31008955 http://dx.doi.org/10.1097/MD.0000000000015235 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle Research Article
Volpe-Chaves, Cláudia Elizabeth
Rodrigues, Ana Cláudia Souza
Lacerda, Mara Luci Gonçalves Galiz
de Oliveira, Caroline Tieppo Flores
Castilho, Suse Barbosa
Franciscato, Caroline
Santos, Ivson Cassiano de Oliveira
Assef, Ana Paula D’alincourt Carvalho
Roever, Leonardo
de Oliveira, Sandra Maria do Valle Leone
Paniago, Anamaria Mello Miranda
Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report
title Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report
title_full Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report
title_fullStr Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report
title_full_unstemmed Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report
title_short Melioidosis, an emerging infectious disease in the Midwest Brazil: A case report
title_sort melioidosis, an emerging infectious disease in the midwest brazil: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494395/
https://www.ncbi.nlm.nih.gov/pubmed/31008955
http://dx.doi.org/10.1097/MD.0000000000015235
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