Melioidosis in India and Bangladesh: A review of case reports
Objective: To conduct an epidemiological and clinical review of published case reports of melioidosis from India and Bangladesh. Methods: Data from published case reports were abstracted and summarized. We further compared the clinical epidemiology of the melioidosis cases in India with case series...
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Wolters Kluwer Medknow Publications
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ftdoajarticles:oai:doaj.org/article:f6734e0799504fad974c7df8e8352a9c 2023-05-15T15:16:30+02:00 Melioidosis in India and Bangladesh: A review of case reports Meghan Tipre Paul Vijay Kingsley Tamika Smith Mark Leader Nalini Sathiakumar 2018-01-01T00:00:00Z https://doi.org/10.4103/1995-7645.233179 https://doaj.org/article/f6734e0799504fad974c7df8e8352a9c EN eng Wolters Kluwer Medknow Publications http://www.apjtm.org/article.asp?issn=1995-7645;year=2018;volume=11;issue=5;spage=320;epage=329;aulast=Tipre https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.233179 https://doaj.org/article/f6734e0799504fad974c7df8e8352a9c Asian Pacific Journal of Tropical Medicine, Vol 11, Iss 5, Pp 320-329 (2018) melioidosis india bangladesh burkholderia pseudomallei environmental Arctic medicine. Tropical medicine RC955-962 article 2018 ftdoajarticles https://doi.org/10.4103/1995-7645.233179 2022-12-31T01:42:23Z Objective: To conduct an epidemiological and clinical review of published case reports of melioidosis from India and Bangladesh. Methods: Data from published case reports were abstracted and summarized. We further compared the clinical epidemiology of the melioidosis cases in India with case series from highly endemic areas in Northern Australia and Southeast Asia to elucidate any differences in presentations and risk factors between the regions. Results: We identified a total of 99 cases published between 1953 and June 2016, originating from India (n=85) or Bangladesh (n=14). Cases were predominantly male and ranged in age from 1 month to 90 years. Diabetes mellitus was the most common risk factor reported (58%). About 28% of the cases had history of exposure via high-risk occupations or exposure to contaminated water. The overall case fatality rate (CFR) was 26%. Factors influencing mortality included the occurrence of septic shock (CFR, 80%), environmental exposure (CFR, 39%), primary presentation of pneumonia (CFR, 38%), misdiagnosed and/or mistreated cases (CFR, 33%) or the presence of a risk factor (CFR, 29%). Because of the small number of cases in Bangladesh, pattern of clinical epidemiology is limited to India. Soft tissue abscess (37%) was the most common clinical presentation reported from India followed by pneumonia (24%) and osteomyelitis/septic arthritis (18%). Neurological melioidosis (n=10, 12%) presented as pyemic lesions of the brain or meninges. A few cases of prostatic abscess (n=4) in men and parotid abscess (n=4) were also noted. The above patterns were consistent with case series from Southeast Asia and Northern Australia for the most part, in terms of risk factors associated with infection and factors influencing mortality. Differences included clinical presentation of pneumonia which was notably lower than that reported in Southeast Asia and Northern Australia; a higher proportion of neurological and parotid abscess presentation; and a lower CFR compared to that reported in case series ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Asian Pacific Journal of Tropical Medicine 11 5 320 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
melioidosis india bangladesh burkholderia pseudomallei environmental Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
melioidosis india bangladesh burkholderia pseudomallei environmental Arctic medicine. Tropical medicine RC955-962 Meghan Tipre Paul Vijay Kingsley Tamika Smith Mark Leader Nalini Sathiakumar Melioidosis in India and Bangladesh: A review of case reports |
topic_facet |
melioidosis india bangladesh burkholderia pseudomallei environmental Arctic medicine. Tropical medicine RC955-962 |
description |
Objective: To conduct an epidemiological and clinical review of published case reports of melioidosis from India and Bangladesh. Methods: Data from published case reports were abstracted and summarized. We further compared the clinical epidemiology of the melioidosis cases in India with case series from highly endemic areas in Northern Australia and Southeast Asia to elucidate any differences in presentations and risk factors between the regions. Results: We identified a total of 99 cases published between 1953 and June 2016, originating from India (n=85) or Bangladesh (n=14). Cases were predominantly male and ranged in age from 1 month to 90 years. Diabetes mellitus was the most common risk factor reported (58%). About 28% of the cases had history of exposure via high-risk occupations or exposure to contaminated water. The overall case fatality rate (CFR) was 26%. Factors influencing mortality included the occurrence of septic shock (CFR, 80%), environmental exposure (CFR, 39%), primary presentation of pneumonia (CFR, 38%), misdiagnosed and/or mistreated cases (CFR, 33%) or the presence of a risk factor (CFR, 29%). Because of the small number of cases in Bangladesh, pattern of clinical epidemiology is limited to India. Soft tissue abscess (37%) was the most common clinical presentation reported from India followed by pneumonia (24%) and osteomyelitis/septic arthritis (18%). Neurological melioidosis (n=10, 12%) presented as pyemic lesions of the brain or meninges. A few cases of prostatic abscess (n=4) in men and parotid abscess (n=4) were also noted. The above patterns were consistent with case series from Southeast Asia and Northern Australia for the most part, in terms of risk factors associated with infection and factors influencing mortality. Differences included clinical presentation of pneumonia which was notably lower than that reported in Southeast Asia and Northern Australia; a higher proportion of neurological and parotid abscess presentation; and a lower CFR compared to that reported in case series ... |
format |
Article in Journal/Newspaper |
author |
Meghan Tipre Paul Vijay Kingsley Tamika Smith Mark Leader Nalini Sathiakumar |
author_facet |
Meghan Tipre Paul Vijay Kingsley Tamika Smith Mark Leader Nalini Sathiakumar |
author_sort |
Meghan Tipre |
title |
Melioidosis in India and Bangladesh: A review of case reports |
title_short |
Melioidosis in India and Bangladesh: A review of case reports |
title_full |
Melioidosis in India and Bangladesh: A review of case reports |
title_fullStr |
Melioidosis in India and Bangladesh: A review of case reports |
title_full_unstemmed |
Melioidosis in India and Bangladesh: A review of case reports |
title_sort |
melioidosis in india and bangladesh: a review of case reports |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2018 |
url |
https://doi.org/10.4103/1995-7645.233179 https://doaj.org/article/f6734e0799504fad974c7df8e8352a9c |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Asian Pacific Journal of Tropical Medicine, Vol 11, Iss 5, Pp 320-329 (2018) |
op_relation |
http://www.apjtm.org/article.asp?issn=1995-7645;year=2018;volume=11;issue=5;spage=320;epage=329;aulast=Tipre https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.233179 https://doaj.org/article/f6734e0799504fad974c7df8e8352a9c |
op_doi |
https://doi.org/10.4103/1995-7645.233179 |
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Asian Pacific Journal of Tropical Medicine |
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11 |
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5 |
container_start_page |
320 |
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