KMID : 0981820090290020140
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Korean Journal of Laboratory Medicine 2009 Volume.29 No. 2 p.140 ~ p.144
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A Case of Disseminated Melioidosis in a Migrant Worker from Thailand
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Lee Hye-Min
Lee Mi-Kyung Ahn Ji-Hyun Choi Seong-Ho Chung Jin-Won Cho Ah-Ra Chang Kyu-Jin
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Abstract
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With globalization, foreign patients are frequently encountered at the clinical practice in Korea. As the number of migrant workers from Southeast Asia has been notably rising since the late 1990¡¯s, unfamiliar tropical infectious diseases that they bring out, may give great challenges to the routine clinical practice in Korea. Melioidosis is a community-acquired infection caused by a gram-negative bacillus, Burkholderia pseudomallei. It has been endemic in Southeast Asia and Northern Australia, where B. pseudomallei is a soil saprophyte and invades the host through inoculation or inhalation.
It frequently presents as an acute septicemia with a high mortality rate of 40%, mainly in patients with chronic underlying diseases, such as diabetes mellitus. Recently, we encountered a case of fatal disseminated melioidosis in a migrant worker from Thailand. We suggest an importance of melioidosis as a cause of community-acquired sepsis in migrant workers from Southeast Asia.
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KEYWORD
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Melioidosis, Burkholderia pseudomallei, Migrant Worker
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