Melioidosis

Recrudescence with a strain resistant to multiple antimicrobials

C. F. Shaefer, R. C. Trincher, J. P. Rissing

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

We describe a recent case of melioidosis presenting classically in a young Vietnam veteran. The case demonstrates extensive antibiotic resistance in this isolate and failure of ceftriaxone, despite its in vitro efficacy. Other multiple antimicrobial regimens also failed. Melioidosis remains a concern in patients who have previously lived in endemic areas. A high level of diagnostic suspicion is required, especially in patients with a febrile illness or tuberculosislike presentations. Early detection of Pseudomonas pseudomallei and rational treatment of adequate duration are critical in successful management.

Original languageEnglish (US)
Pages (from-to)173-175
Number of pages3
JournalAmerican Review of Respiratory Disease
Volume128
Issue number1
DOIs
StatePublished - Jan 1 1983

Fingerprint

Melioidosis
Burkholderia pseudomallei
Recurrence
Ceftriaxone
Vietnam
Veterans
Microbial Drug Resistance
Fever
Therapeutics
In Vitro Techniques

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Melioidosis : Recrudescence with a strain resistant to multiple antimicrobials. / Shaefer, C. F.; Trincher, R. C.; Rissing, J. P.

In: American Review of Respiratory Disease, Vol. 128, No. 1, 01.01.1983, p. 173-175.

Research output: Contribution to journalArticle

@article{961e4139227245278f758328ab59e434,
title = "Melioidosis: Recrudescence with a strain resistant to multiple antimicrobials",
abstract = "We describe a recent case of melioidosis presenting classically in a young Vietnam veteran. The case demonstrates extensive antibiotic resistance in this isolate and failure of ceftriaxone, despite its in vitro efficacy. Other multiple antimicrobial regimens also failed. Melioidosis remains a concern in patients who have previously lived in endemic areas. A high level of diagnostic suspicion is required, especially in patients with a febrile illness or tuberculosislike presentations. Early detection of Pseudomonas pseudomallei and rational treatment of adequate duration are critical in successful management.",
author = "Shaefer, {C. F.} and Trincher, {R. C.} and Rissing, {J. P.}",
year = "1983",
month = "1",
day = "1",
doi = "10.1164/arrd.1983.128.1.173",
language = "English (US)",
volume = "128",
pages = "173--175",
journal = "American Journal of Respiratory and Critical Care Medicine",
issn = "1073-449X",
publisher = "American Thoracic Society",
number = "1",

}

TY - JOUR

T1 - Melioidosis

T2 - Recrudescence with a strain resistant to multiple antimicrobials

AU - Shaefer, C. F.

AU - Trincher, R. C.

AU - Rissing, J. P.

PY - 1983/1/1

Y1 - 1983/1/1

N2 - We describe a recent case of melioidosis presenting classically in a young Vietnam veteran. The case demonstrates extensive antibiotic resistance in this isolate and failure of ceftriaxone, despite its in vitro efficacy. Other multiple antimicrobial regimens also failed. Melioidosis remains a concern in patients who have previously lived in endemic areas. A high level of diagnostic suspicion is required, especially in patients with a febrile illness or tuberculosislike presentations. Early detection of Pseudomonas pseudomallei and rational treatment of adequate duration are critical in successful management.

AB - We describe a recent case of melioidosis presenting classically in a young Vietnam veteran. The case demonstrates extensive antibiotic resistance in this isolate and failure of ceftriaxone, despite its in vitro efficacy. Other multiple antimicrobial regimens also failed. Melioidosis remains a concern in patients who have previously lived in endemic areas. A high level of diagnostic suspicion is required, especially in patients with a febrile illness or tuberculosislike presentations. Early detection of Pseudomonas pseudomallei and rational treatment of adequate duration are critical in successful management.

UR - http://www.scopus.com/inward/record.url?scp=0020597848&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020597848&partnerID=8YFLogxK

U2 - 10.1164/arrd.1983.128.1.173

DO - 10.1164/arrd.1983.128.1.173

M3 - Article

VL - 128

SP - 173

EP - 175

JO - American Journal of Respiratory and Critical Care Medicine

JF - American Journal of Respiratory and Critical Care Medicine

SN - 1073-449X

IS - 1

ER -