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Volume 25, Number 5—May 2019
Dispatch

Population-Based Estimate of Melioidosis, Kenya

Esther M. MuthumbiComments to Author , Nicola C. Gordon, George Mochamah, Sammy Nyongesa, Emily Odipo, Salim Mwarumba, Neema Mturi, Anthony O. Etyang, David A.B. Dance, J. Anthony G. Scott, and Susan C. Morpeth
Author affiliations: KEMRI–Wellcome Trust Research Programme, Kilifi, Kenya (E.M. Muthumbi, N.C. Gordon, G. Mochamah, S. Nyongesa, E. Odipo, S. Mwarumba, N. Mturi, A.O. Etyang, J.A.G. Scott, S.C. Morpeth); London School of Hygiene & Tropical Medicine, London, UK (N.C. Gordon, D.A.B. Dance, J.A.G. Scott, S.C. Morpeth); Lao-Oxford-Mahosot Hospital–Wellcome Trust Research Unit, Vientiane, Laos (D.A.B. Dance); University of Oxford, Oxford, UK (D.A.B. Dance, J.A.G. Scott, S.C. Morpeth)

Main Article

Table 1

Clinical summary of patients with positive Burkholderia pseudomallei isolates, Kilifi, Kenya, 2002–2014*

Year Age/sex Clinical features Risk factors Diagnosis† Culture source Antimicrobial sensitivity
 Days in hospital Outcome
AMC STX TET CAZ IMI
2002
 8 d/M
 Fever, jaundice, respiratory distress
 None identified
 Neonatal sepsis
 Blood
 S
 S
 S
 S
 S
 3
 Died
2008
 7 d/M
 Respiratory distress
 None identified
 Severe pneumonia, neonatal sepsis
 Blood
 S
 S
 S
 S
 S
 3
 Survived
2010
 3 y/F
 Fever, respiratory distress
 Near-drowning
 Severe pneumonia, septic shock
 Blood
 S
 S
 S
 S
 S
 6
 Died
2011
 52 y/M
 Persistent fever and night sweats of unknown duration
 None identified
 Acute renal failure, meningitis
 Blood
 S
 S
 S
 S
 S
 5
 Died
2014 68 y/F Fever, bilateral cervical neck swellings Diabetes mellitus Diabetes, cervical lymphadenitis Pus swab S S S S S 40 Survived

*AMC, amoxicillin/clavulanic acid; CAZ, ceftazidime; IMI, imipenem; S, susceptible; STX, trimethoprim/sulfamethoxazole; TET, tetracycline.
†Diagnosis at time of admission.

Main Article

Page created: April 17, 2019
Page updated: April 17, 2019
Page reviewed: April 17, 2019
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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