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KMID : 1143420190120010002
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Public Health Weekly Report
2019 Volume.12 No. 1 p.2 ~ p.6
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A case with melioidosis after traveling to Angkor Wat, Cambodia
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Lee Shin-Young
Lee Ji-Yeon
Cho Eun-Hee
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Abstract
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Melioidosis is caused by the Gram-negative bacillus Burkholderia pseudomallei, and it is commonly found in soil and water in Southeast Asia and Northern Australia. People are mainly infected through direct contact with the pathogens, which is endemic to Southeast Asia and Northern Australia. Melioidosis can be difficult to diagnose because of its diverse clinical manifestations as abscesses of the skin and soft tissue, sepsis, and pneumonia; treatment containing ineffective antimicrobials may then result in a mortality rate of 50%. A 60-year-old man with the history of having traveled to Cambodia’s Angkor Wat in 2008 complained of a fever, dyspnea and cough, and then was diagnosed as melioidosis through a culture examination of Burkholderia pseudomallei from Bronchial aspirate samples obtained by Bronchoscopy. This report describes a imported, relapsed melioidosis case who had the antibiotic treatment for unexplained pneumonia after trip to Angkor Wat, Cambodia in 2008.
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KEYWORD
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Melioidosis, Burkholderia pseudomallei, Pathogen, Pneumonia
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