Barman Purabi, Kaur Ravneet, Kumar Kamlesh
Department of Microbiology, Fortis Flt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India.
Indian J Crit Care Med. 2013 Jan;17(1):46-8. doi: 10.4103/0972-5229.112146.
Melioidosis is endemic in the South Asian regions, like Thailand, Singapore Malaysia and Australia. The disease is more pronounced in the southern part of the country. It is caused by Burkholderia pseudomallei which causes systemic involvement, morbidity and mortality associated with the disease is high. Due to highly varied clinical presentation, and low general awareness this infection is largely underdiagnosed and under reported in our country. Most laboratories in the country still rely on conventional culturing methods with their low sensitivity, adding to the under reporting. To enhance physician awareness we describe here two cases who presented to our institute after months of misdiagnosis.
类鼻疽在南亚地区呈地方性流行,如泰国、新加坡、马来西亚和澳大利亚。该病在该国南部更为显著。它由类鼻疽伯克霍尔德菌引起,可导致全身感染,与该疾病相关的发病率和死亡率很高。由于临床表现高度多样,且公众普遍认知度低,这种感染在我国大多未得到充分诊断和报告。该国大多数实验室仍依赖灵敏度较低的传统培养方法,这也加剧了报告不足的情况。为提高医生的认识,我们在此描述两例在被误诊数月后前来我院就诊的病例。