Melioidosis in Patients with COVID-19 Exposed to Contaminated Tap Water, Thailand, 2021
Panupong Tantirat, Yotsathon Chantarawichian, Pantila Taweewigyakarn, Somkid Kripattanapong, Charuttaporn Jitpeera, Pawinee Doungngern, Chadaporn Phiancharoen, Ratanaporn Tangwangvivat, Soawapak Hinjoy, Anupong Sujariyakul, Premjit Amornchai, Gumphol Wongsuvan, Viriya Hantakun, Vanaporn Wuthiekanun, Janjira Thaipadungpanit, Nicholas R. Thomson, David A.B. Dance, Claire Chewapreecha, Elizabeth M. Batty, and Direk Limmathurotsakul
Author affiliations: Saraburi Hospital, Mueang Saraburi District, Saraburi, Thailand (P. Tantirat); Ministry of Public Health, Nonthaburi, Thailand (P. Tantirat, P. Taweewigyakarn, S. Kripattanapong, C. Jitpeera, P. Doungngern, C. Phiancharoen, R. Tangwangvivat, S. Hinjoy, A Sujariyakul); Kaeng Khoi Hospital, Kaeng Khoi District, Saraburi (Y. Chantarawichian); Mahidol University Mahidol-Oxford Tropical Medicine Research Unit, Bangkok, Thailand (P. Amornchai, G. Wongsuvan, V. Hantakun, V. Wuthiekanun, J. Thaipadungpanit, C. Chewapreecha, E.M. Batty, D. Limmathurotsakul); Mahidol University, Bangkok (J. Thaipadungpanit, C. Chewapreecha, D. Limmathurotsakul); Wellcome Sanger Institute, Hinxton, United Kingdom (N.R. Thomson, C. Chewapreecha); Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Vientiane, Lao People’s Democratic Republic (D.A.B. Dance); London School of Hygiene and Tropical Medicine, London, UK (D.A.B Dance); University of Oxford Centre for Tropical Medicine and Global Health, Oxford, UK (D.A.B. Dance, E.M. Batty, D. Limmathurotsakul)
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Figure
Figure. Information on 25 patients with COVID-19 who developed acute melioidosis in Saraburi Province, Thailand, 2021. A) Phylogenic tree of 19 clinical isolates and 14 environmental isolates. The K96243 reference strain is used to root the tree. B) Tree showing only the clinical and environmental isolates within the ST689 cluster. Scale bar shows number of nucleotide differences.
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