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Volume 22, Number 8—August 2016
CME ACTIVITY - Research

Cutaneous Melioidosis Cluster Caused by Contaminated Wound Irrigation Fluid

Adam J. Merritt, Mariani Peck, Dionne Gayle, Avram Levy, Yi-Horng Ler, Edward Raby, Tristan M. Gibbs, and Timothy J.J. InglisComments to Author 
Author affiliations: PathWest Laboratory Medicine, Nedlands, Western Australia, Australia (A.J. Merritt, M. Peck, D. Gayle, A. Levy, Y.-H. Ler, T.M. Gibbs, T.J.J. Inglis); University of Western Australia, Crawley, Western Australia, Australia (A.J. Merritt, T.J.J. Inglis); Royal Perth Hospital, Perth, Western Australia, Australia (E. Raby)

Main Article

Table

Summary characteristics of a cutaneous melioidosis cluster caused by contamination of wound irrigation fluid, Western Australia, 2012–2013*

Isolate source
 Source
 Date of collection
 Pathology request notes
 MALDI-TOF MS score
 YLF/BTFC
 MLST
ST
Patient A Wound 2012 Jan 20 Cellulitis (left shin and toe), unresponsive to first-line antibiotics 2.6 BTFC 1112
Patient B Pulmonary 2012 Mar 30 Cough and shortness of breath, fine needle aspirate of lung lesion, fever and chills afterwards 2.476 YLF 84
Patient C Wound 2013 Sep 25 Purulent, dehiscing wound at site of lesion removed 1 month previously 2.61 BTFC 1112
Patient D Wound 2013 Nov 12 Leg injury, slough 2.376 BTFC 1112
Patient E Wound 2013 Nov 29 Cellulitis (left shin), worsening despite first-line antibiotics 2.146 BTFC 1112
Patient F Wound 2013 Dec 05 Nonhealing wound (right forearm) 2.394 BTFC 1112
Patient G Wound 2013 Dec 13 Wound sustained in QLD, swabbed to check for cutaneous melioidosis 2.7 BTFC 1112
Patient H Pulmonary† and cutaneous 2013 Dec 20 Subgaleal abscess pus 2.211 YLF 176
Saline Wound irrigation fluid 2013 Dec 20 NA 2.3 BTFC 1112

*Patients ordered by date of specimen collection. Isolates from patients B and H have sequence types previously documented in Southeast Asia. BTFC, B. thailandensis–like flagellar gene cluster; MALDI-TOF MS, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; MLST, multilocus sequence typing; NA, not applicable; QLD, Queensland; ST, sequence type; YLF, Yersinia-like fimbrial gene cluster.
†Molecular detection only; no isolate recovered.

Main Article

Page created: July 08, 2016
Page updated: July 08, 2016
Page reviewed: July 08, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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