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Volume 26, Number 1—January 2020
Dispatch

Geographic Distribution and Incidence of Melioidosis, Panama1

Ana B. Araúz2Comments to Author , Katiana Castillo2, Erika Santiago, Yarineth Quintero3, Enrique Adames, Boris Castillo, Amalia Rodríguez-French, and German Henostroza
Author affiliations: Hospital Santo Tomás, Panama City, Panama (A.B. Araúz, K. Castillo, E. Santiago, Y. Quintero, E. Adames, A. Rodríguez-French); Universidad de Panamá, Panama City (A.B. Araúz, E. Adames, A. Rodríguez-French); Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid, Panama City (B. Castillo); University of Alabama at Birmingham, Birmingham, Alabama, USA (G. Henostroza)

Main Article

Table

Clinical and epidemiologic characteristics of patients with melioidosis, Panama, 2007–2017*

Characteristics Patient no.
1 2 3 4 5† 6 7 8 9 10 11 12
Age, y/sex 29/M 72/F 31/M 42/F 47/M 47/M 54/M 60/M 61/M 59/M 42/F 60/M
Area of origin Oeste Pmá Darién Pmá Darién Oeste Pmá Darién Oeste 
Pmá Coclé Darién Pmá Colón Pmá
Date of illness onset Oct 2007 Aug 2009 Oct 2009 Nov 2009 NA May 2012 Jul 2014 Aug 2015 Dec 2015 Aug 2016 Oct 2016 Jun 2017
Occupation NA NA NA NA NA NA NA Farmer Farmer Driver House-wife Retired
Risk factors DM DM DM DM DM CKD DM DM DM DM DM None
Duration of symptoms, wks
 1
 4
 4
 2
 4
 NA
 NA
 1
 2
 1
 3
 4
Symptoms
Fever Y Y Y Y Y Y Y Y Y Y Y Y
Cough Y N N N N N Y Y Y Y Y N
Dyspnea Y N Y N N N Y Y Y Y Y N
Abdominal pain N Y Y Y Y N Y N N Y N N
Jaundice N N N Y N N N N N N N N
Seizures N N N N N N N Y N N N N
Joint pain
 N
 N
 N
 N
 N
 N
 N
 N
 Y
 N
 N
 Y
Diagnosis
Bacteremia Y Y N N Y N Y Y Y Y Y N
Septic shock N N N Y Y N Y Y Y Y Y N
Pneumonia Y N N N N N Y Y Y Y Y N
UTI Y N N N N N N N N Y N N
Spleen abscess N Y N Y N N N N N N N N
Pancreatic abscess N N N N Y N N N N N N N
Liver abscess N N Y Y N N N N N N N N
Endocarditis N N N N Y N N N N N N N
Osteomyelitis N N N N N Y N N N N N N
Septic arthritis N N N N N N N N Y N N Y
Meningitis
 N
 N
 N
 N
 N
 N
 N
 Y
 N
 N
 N
 N
Positive culture
 Blood,
urine
 Blood
 LA
 LA
 Blood
 TA
 Blood
 Blood, sputum,
CSF
 Blood,
joint fluid
 Blood, sputum,
urine
 Blood
 SCA
Treatment
 IPM, CAZ, TMP/ SMX
 MEM,
TMP/ SMX
 IPM,
TMP/ SMX
 IPM, FEP, TMP/ SMX
 CAR
 IPM
 MEM
 MEM, CAZ
 MEM
 MEM,
CAZ
 MEM,
CAZ
 MEM
Outcome Rec Alive Alive Alive Alive Alive Died Died Died Died Died Alive

*CAR, carbapenem; CAZ, ceftazidime; CKD, chronic kidney disease; CSF, cerebrospinal fluid; DM, diabetes mellitus; FEP, cefepime; IPM, imipenem; LA, liver abscess; MEM, meropemen; N, no; NA, not available; Pmá, Panamá; SCA, sternoclavicular abscess; TA, tibial abscess; TMP/SMX, trimethoprim/sulfametoxazol; UTI, urinary tract infection; Y, yes.
†Information adapted from abstract of poster presented by E. Brid at American College of Physicians Central America Chapter Scientific Meeting, Panama City, Panama, 2015 Feb 27 (14).

Main Article

References
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Main Article

1Preliminary results from this study were presented at IDWeek, October 26–30, 2016, New Orleans, Louisiana, USA.

2These authors contributed equally to this article.

3Current affiliation: Hospital del Niño, Panama City, Panama.

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