Beeker A, Van de Stadt K D, Bakker K
Department of Internal Medicine, Spaarne Ziekenhuis Heemstede, The Netherlands.
Neth J Med. 1999 Feb;54(2):76-9. doi: 10.1016/s0300-2977(98)00129-6.
Melioidosis is an infection with the gram-negative bacillus Burkholdria pseudomallei, previous known as Pseudomonas pseudomallei. We present a case report of a man with Non-Hodgkin's Lymphoma, who after visiting Indonesia presented himself with a urosepsis, with positive cultures to B. pseudomallei. Melioidosis is endemic in areas of southeast Asia and the northern part of Australia. Infection with the B. pseudomallei has a high mortality rate. Diagnosis can be made on the basis of cultures, the bacteria grow on standard media. Treatment should be based up on sensitivity studies. The optimum duration of therapy and choice of antibiotics remain to be determined. Due to the increase in travel, the infection will be seen more frequently in other parts of the world.
类鼻疽是由革兰氏阴性杆菌伯克霍尔德菌（以前称为类鼻疽假单胞菌）引起的感染。我们报告一例非霍奇金淋巴瘤患者，该患者在访问印度尼西亚后出现泌尿道脓毒症，类鼻疽伯克霍尔德菌培养呈阳性。类鼻疽在东南亚和澳大利亚北部地区为地方病。感染类鼻疽伯克霍尔德菌死亡率很高。诊断可基于培养结果，该细菌可在标准培养基上生长。治疗应基于敏感性研究。最佳治疗持续时间和抗生素选择仍有待确定。由于旅行增加，这种感染在世界其他地区将更频繁地出现。
