Volume 20, Number 2—February 2014
Melioidosis Caused by Burkholderia pseudomallei in Drinking Water, Thailand, 2012
|Patient no./ age, y/sex||Sample type||No. colonies tested||PFGE pattern (no. colonies)||No. bands different from clinical sample||Sequence type determined by MLST||Clinical features and outcome|
|1/78/F||Blood||1||A (1)||NA||208||No known risk factors for melioidosis; patient had acute onset of severe pneumonia and septic shock and died 48 h after hospital admission. Blood, sputum, and urine specimens were positive for B. pseudomallei. Abdominal ultrasound scan was not performed. Patient had a history of consuming untreated well water.|
|Well water||10||A (2)||0||208|
|2/88/M||Blood||1||E (1)||NA||48||Patient had diabetes, acute onset of pneumonia, and right hemiparesis. Blood and sputum specimens were positive for B. pseudomallei. Computer tomography scan of the brain showed a ruptured mycotic aneurysm, leading to acute hematoma in the left frontoparietotemporal lobe and multiple septic emboli. Abdominal ultrasonogram was not performed. Patient had a history of consuming untreated well water and tap water. Septic shock developed on day 19 and the patient died on day 24 after hospital admission.|
|Tap water||10||F (7)||3||48|
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