Clinical Manifestations and Genomic Evaluation of Melioidosis Outbreak among Children after Sporting Event, Australia
Simon Smith
, Tonia Marquardt, Amy V. Jennison, Andrew D’Addona, James Stewart, Trent Yarwood, Jennifer Ho, Enzo Binotto, Julian Harris, Mark Fahmy, Juliet Esmonde, Megan Richardson, Rikki M.A. Graham, Richard Gair, Lawrence Ariotti, Annie Preston-Thomas, Sally Rubenach, Siobhan O’Sullivan, Darren Allen, Thomas Ragh, Sachjuan Grayson, Sophie Manoy, Jeffery M. Warner, Ella M. Meumann, Jennifer M. Robson, and Josh Hanson
Author affiliations: Cairns Hospital, Cairns, Queensland, Australia (S. Smith, J. Stewart, T. Yarwood, J. Ho, E. Binotto, J. Harris, M. Fahmy, S. O’Sullivan, T. Ragh, S. Grayson, S. Manoy, J. Hanson); Cairns & Hinterland Health Service, Cairns (T. Marquardt, A. D’Addona, J. Esmonde, M. Richardson, R. Gair, A. Preston-Thomas, S. Rubenach); Forensic and Scientific Services, Brisbane, Queensland, Australia (A.V. Jennison, R.M.A. Graham, L. Ariotti); University of Queensland, Herston, Queensland, Australia (T. Yarwood); James Cook University, Cairns (T. Yarwood, J. Ho); Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia (D. Allen); James Cook University, Townsville, Queensland, Australia (J.M. Warner); Sullivan Nicolaides Pathology, Bowen Hills, Queensland, Australia (E.M. Meumann, J.M. Robson); Menzies School of Health Research, Darwin, Northern Territory, Australia (E.M. Meumann); University of New South Wales, Sydney, Australia (J. Hanson)
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Figure 4
Figure 4. Clinical images of cutaneous melioidosis among children after sporting event, Australia. A) Cutaneous pustular lesion on the left arm of case 1; lesion initially appeared at 19 days postexposure (dpi). B) Cutaneous ulcerative lesion on the right leg of case-patient 2; lesion initially appeared at 14 dpi. C) Cutaneous lesion near the umbilicus of case-patient 3; lesion initially appeared at 18 dpi. D) Cutaneous lesion on the left arm of case-patient 4; lesion initially appeared at 31 dpi. E) Cutaneous lesion on the right arm of case-patient 5; lesion initially appeared at 12 dpi.
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