John T J, Jesudason M V, Lalitha M K, Ganesh A, Mohandas V, Cherian T, Mathai D, Chandy M J
Department of Microbiology, Christian Medical College & Hospital, Vellore.
Indian J Med Res. 1996 Jan;103:62-5.
Diagnosis of melioidosis by the isolation of Burkholderia pseudomallei from one or more body fluid/tissue specimens of 6 Indian subjects, 5 of whom had not travelled outside India, is reported. The places of residence of these 6 and one patient previously reported, namely Tripura (2), Kerala (2), Orissa (1), Tamil Nadu (1) and Maharashtra (1) are therefore potentially endemic for melioidosis. B.pseudomallei closely resembles common contaminant Pseudomonas sp. and are easily mis-identified in microbiology laboratories. We surmise that melioidosis is underdiagnosed and underreported in India and we alert clinicians, microbiologists and public health professionals to the possibility of melioidosis being far more common than previously recognised.
据报道，从6名印度受试者的一种或多种体液/组织标本中分离出类鼻疽伯克霍尔德菌，从而诊断出类鼻疽，其中5人未曾离开过印度。因此，这6名患者以及之前报道的1名患者的居住地，即特里普拉邦（2例）、喀拉拉邦（2例）、奥里萨邦（1例）、泰米尔纳德邦（1例）和马哈拉施特拉邦（1例），都可能是类鼻疽的地方性流行区。类鼻疽伯克霍尔德菌与常见污染物假单胞菌属极为相似，在微生物实验室中很容易被误认。我们推测，类鼻疽在印度的诊断和报告不足，我们提醒临床医生、微生物学家和公共卫生专业人员，类鼻疽可能比以前认为的更为常见。
