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 5
Figure 5. Clinical images of adverse reactions secondary to trimethoprim/sulfamethoxazole among children treated for cutaneous melioidosis after a sporting event, Australia. A) Widespread, erythematous, pruritic rash in case-patient 1 that began 9 days after commencing trimethoprim-sulfamethoxazole. B) Lip swelling and a widespread erythematous rash in case-patient 2 that began 16 days after commencing trimethoprim/sulfamethoxazole.
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