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Volume 11, Number 10—October 2005

Letter

Melioidosis in Tsunami Survivors

Eugene Athan*Comments to Author , Anthony M. Allworth†, Catherine Engler‡, Ivan Bastian§, and Allen C. Cheng*¶
Author affiliations: *The Geelong Hospital, Geelong, Victoria, Australia; †Royal Brisbane Hospital, Brisbane, Queensland, Australia; ‡Queensland Health Pathology Services, Townsville, Queensland, Australia; §Institute of Medical and Veterinary Science, Adelaide, South Australia, Australia; ¶Menzies School of Health Research, Darwin, Northern Territory, Australia

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Table

Clinical details of pneumonia patients after tsunami in Banda Aceh, Indonesia, January 2003*

Patient no. Age (y)/sex Radiograph results Complications Microbiologic test results Days before treatment Antimicrobial drug Acute outcome
1 7/M Bilateral infiltrates Cavitation No cultures taken 19 Meropenem Fever resolved, improving @30 days
2 12/M Bilateral infiltrates Pseudomonas aeruginosa (sputum) 37 Meropenem Serious but stable @12 days
3 5/M Unilateral infiltrates Cavitation No cultures taken 10 Meropenem Fever resolved, improving @39 days
4 15/F Bilateral infiltrates Pneumothorax, empyema Burkholderia pseudomallei (sputum) 27 Meropenem 2 wks, then oral TMP-SMX and coamoxiclav Fully recovered, discharged @20 days
5 14/M Bilateral infiltrates P. aeruginosa (sputum) 35 Meropenem Improving @11 days
6 6/M Bilateral infiltrates P. aeruginosa (sputum) 30 Meropenem Improving @19 days
7 18 mo/M Bilateral infiltrates Empyema B. pseudomallei (pleural fluid) 30 Meropenem Improving @23 days
8 10/F Bilateral infiltrates Empyema P. aeruginosaB. pseudomalleiKlebsiella sp. (pleural fluid) 30 Meropenem Improving @23 days
9 13/F Bilateral infiltrates P. aeruginosaB. pseudomallei (sputum) 33 Meropenem Improving @18 days
10 17/F Unknown Unknown Nocardia spp. (sputum) 21 Ticarcillin/clavulanate, ciprofloxacin Not improving, outcome unknown @12 days

*ICU, intensive care unit; TMP-SMX, trimethoprim-sulfamethoxazole.

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