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Melioidosis: What Rheumatologists Need to Know

G.C. Yathish, MD, Taral Parikh, MD, Parikshit Sagdeo, MD, Balakrishnan Canchi, MD, and Gurmeet Mangat, MD  |  Issue: May 2015  |  May 15, 2015


G.C. Yathish, MD, is a second-year rheumatology DNB student at Hinduja Hospital in Mumbai, India.
Taral Parikh, MD, is a third-year rheumatology DNB student at Hinduja Hospital in Mumbai, India.
Parikshit Sagdeo, MD, is a first-year rheumatology DNB student at Hinduja Hospital in Mumbai, India.
Balakrishnan Canchi, MD, is the chief of rheumatology at Hinduja Hospital in Mumbai, India.
Gurmeet Mangat, MD, is a consultant rheumatologist at Hinduja Hospital in Mumbai, India.

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Why Rheumatologists Need to Know about Melioidosis

  • It’s common in an immunocompromised host, so many of our patients are at risk;
  • It can present as septic arthritis;
  • The number of cases appears to be increasing in Southeast Asia and Africa;
  • A handful of cases are reported yearly in the U.S., mainly among travelers and immigrants; and
  • B. pseudomallei is considered a Group B bioterrorism agent.

References

  1. Raja NS, Ahmed MZ, Singh NN. Melioidosis: An emerging infectious disease. J Postgrad Med. 2005 Apr–Jun;51(2):140–145.
  2. White NJ. Melioidosis. Lancet. 2003 May 17;361(9370):1715–1722.
  3. Currie BJ, Fisher DA, Howard DM, et al. Endemic melioidosis in tropical northern Australia: A 10-year prospective study and review of the literature. Clin Infect Dis. 2000 Oct;31(4):981–986.
  4. Kosuwon W, Taimglang T, Sirichativapee W, et al. Melioidotic septic arthritis and its risk factors. J Bone Joint Surg Am. 2003 Jun;85-A(6):1058–1061.
  5. Jesudason MV, Anbarasu A, John TJ. Septicaemic melioidosis in a tertiary care hospital in south India. Indian J Med Res. 2003 Mar;117:119–121.
  6. Hoque SN, Minassian M, Clipstone S, et al. Melioidosis presenting as septic arthritis in Bengali men in east London. Rheumatology (Oxford). 1999;38(10):1029–1031.

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