Melioidosis in Colombia, description of a clinical case and epidemiological considerations
Abstract
Melioidosis is an infectious disease caused by Burkholderia pseudomallei whose clinical diagnosis can be difficult due not only to its varied clinical presentation but also to the difficulties in the microbiological diagnosis.Thus, it may be necessary to use molecular techniques for its proper identification once it is suspected.
There are few antibiotics available for the treatment of this disease, which must be used over a long period of time. Although it is known to be endemic in Thailand, Malaysia, Singapore, Vietnam, and Australia, in Colombia there are few reported cases.
We describe a case of melioidosis in the northern region of Colombia. Additionally, we review its clinical characteristics and treatment and we describe the local epidemiology of this disease.
Downloads
References
Benoit TJ, Blaney DD, Doker TJ, Gee JE, Elrod MG, Rolim DB, et al. A review of melioidosis cases in the Americas. Am J Trop Med Hyg. 2015;93:1134-9. https://doi.org/10.4269/ajtmh.15-0405
Limmathurotsakul D, Golding N, Dance DA, Messina JP, Pigott DM, Moyes CL, et al. Predicted global distribution of Burkholderia pseudomallei and burden of melioidosis. Nat Microbiol. 2016;1:15008. https://doi.org/10.1038/nmicrobiol.2015.8
Yabuuchi E, Kosako Y, Oyaizu H, Yano I, Hotta H, Hashimoto Y, et al. Proposal of Burkholderia gen. nov. and transfer of seven species of the genus Pseudomonas homology group II to the new genus, with the type species Burkholderia cepacia (Palleroni and Holmes 1981) comb. nov. Microbiol Immunol. 1992;36:1251-75. https://doi.org/10.1111/j.1348-0421.1992.tb02129.x
Hemarajata P, Baghdadi JD, Hoffman R, Humphries RM. Burkholderia pseudomallei: Challenges for the clinical microbiology laboratory. J Clin Microbiol. 2016;54:2866-73. https://doi.org/10.1128/JCM.01636-16
Eberl L, Vandamme P. Members of the genus Burkholderia: Good and bad guys. F1000Res. 2016;5:1007. https://doi.org/10.12688/f1000research.8221.1
Depoorter E, Bull MJ, Peeters C, Coenye T, Vandamme P, Mahenthiralingam E. Burkholderia: An update on taxonomy and biotechnological potential as antibiotic producers. Appl Microbiol Biotechnol. 2016;100:5215-29. https://doi.org/ 10.1007/s00253-016-7520-x
Nasner-Posso KM, Cruz-Calderón S, Montúfar-Andrade FE, Dance DA, Rodríguez-Morales AJ. Human melioidosis reported by ProMED. Int J Infect Dis. 2015;35:103-6. https://doi.org/10.1016/j.ijid.2015.05.009
Chewapreecha C, Holden MT, Vehkala M, Välimäki N, Yang Z, Harris SR, et al. Global and regional dissemination and evolution of Burkholderia pseudomallei. Nat Microbiol. 2017;2:16263. https://doi.org/10.1038/nmicrobiol.2016.263
Currie BJ, Kaestli M. Epidemiology: A global picture of melioidosis. Nature. 2016;529:290-1. https://doi.org/10.1038/529290a
White NJ. Melioidosis. Lancet. 2003;361:1715-22. https://doi.org/10.1016/S0140-6736(03)13374-0
Victoria P. Grandes mitos de la historia de Colombia. Primera edicion. Bogotá: Grupo Planeta-Colombia; 2011.
Nasner-Posso KM, Cruz-Calderón S, Rodríguez-Morales AJ, Montúfar-Andrade FE. Melioidosis: una enfermedad esporádica o emergente en Colombia? Enferm Infecc Microbiol Clin. 2015;33:206-7. https://doi.org/10.1016/j.eimc.2014.10.013
Severiche D. Pseudomonas pseudomallei community acquired pneumonia. Revista Colombiana de Neumología. 1998;10:188-92.
Montúfar FE, Ochoa JE, Ortega H, Franco L, Montúfar MC, Monsalve A, et al. Melioidosis in Antioquia, Colombia: An emerging or endemic disease? A case series. Int J Infect Dis. 2015;37:50-7. https://doi.org/10.1016/j.ijid.2015.05.023
Gonzáles G, Mantilla W, Rada E. Pneumonia and osteomyelitis by Burkholderia pseudomallei: Report of a clinical case. Revista Med. 2009;17:146-9.
Osorio HE, Durán LF. Melioidosis: reporte de un caso en el departamento del Huila - Colombia. Revista Facultad de Salud RFS 2014;6:56-9.
Rosero CH, Gómez G, Gutiérrez OI. Tos y disnea de seis años de evolución en un adulto joven con melioidosis pulmonar crónica. Reporte de caso. Medlab 2013;19:465-72.
Guzmán-Gómez L, Agudo-Bilbao M, Peiro-Callizo E, Salas C. Melioidosis importada desde Colombia a España. Enferm Infecc Microbiol Clin. 2015;33:214-6. https://doi.org/10.1016/j.eimc.2014.06.003
Currie BJ. Melioidosis: Evolving concepts in epidemiology, pathogenesis, and treatment. Semin Respir Crit Care Med. 2015;36:111-25. https://doi.org/10.1055/s-0034-1398389
Kingsley PV, Leader M, Nagodawithana NS, Tipre M, Sathiakumar N. Melioidosis in Malaysia: A review of case reports. PLoS Negl Trop Dis. 2016;10:e0005182. https://doi.org/10.1371/journal.pntd.0005182
Suputtamongkol Y, Hall AJ, Dance DA, Chaowagul W, Rajchanuvong A, Smith MD, et al. The epidemiology of melioidosis in Ubon Ratchatani, northeast Thailand. Int J Epidemiol. 1994;23:1082-90.
Currie BJ, Ward L, Cheng AC. The epidemiology and clinical spectrum of melioidosis: 540 cases from the 20 year Darwin prospective study. PLoS Negl Trop Dis. 2010;4:e900. https://doi.org/10.1371/journal.pntd.0000900
Wuthiekanun V, Chierakul W, Langa S, Chaowagul W, Panpitpat C, Saipan P, et al. Development of antibodies to Burkholderia pseudomallei during childhood in melioidosisendemic northeast Thailand. Am J Trop Med Hyg. 2006;74:1074-5.
Vishnu Prasad NR, Balasubramaniam G, Karthikeyan VS, Ramesh CK, Srinivasan K. Melioidosis of chest wall masquerading as a tubercular cold abscess. J Surg Tech Case Rep. 2012;4:115-7. https://doi.org/10.4103/2006-8808.110254
Limmathurotsakul D, Peacock SJ. Melioidosis: A clinical overview. Br Med Bull. 2011;99:125-39. https://doi.org/10.1093/bmb/ldr007
Limmathurotsakul D, Chaowagul W, Chierakul W, Stepniewska K, Maharjan B, Wuthiekanun V, et al. Risk factors for recurrent melioidosis in northeast Thailand. Clin Infect Dis. 2006;43:979-86. https://doi.org/10.1086/507632
Ranjan N, Ranjan KP. State of the globe: Melioidosis: Diagnostic caveats and emerging solutions. J Glob Infect Dis. 2018;10:1-2. https://doi.org/10.4103/jgid.jgid_107_17
Shaw T, Tellapragada C, Ke V, AuCoin DP, Mukhopadhyay C. Performance evaluation of Active Melioidosis Detect-Lateral Flow Assay (AMD-LFA) for diagnosis of melioidosis in endemic settings with limited resources. PLoS One. 2018;13:e0194595. https://doi.org/10.1371/journal.pone.0194595
Woods KL, Boutthasavong L, NicFhogartaigh C, Lee SJ, Davong V, AuCoin DP, et al. Evaluation of a rapid diagnostic test for the detection of Burkholderia pseudomallei in the Lao People’s Democratic Republic. J Clin Microbiol. 2018;56:e02002-17. https://doi.org/10.1128/JCM.02002-17
Lau SKP, Sridhar S, Ho C-C, Chow W-N, Lee K-C, Lam C-W, et al. Laboratory diagnosis of melioidosis: Past, present and future. Exp Biol Med (Maywood). 2015;240:742-51. https://doi.org/10.1177/1535370215583801
Kiratisin P, Santanirand P, Chantratita N, Kaewdaeng S, Jordan JG, Cook EC, et al. Accuracy of commercial systems for identification of Burkholderia pseudomallei versus Burkholderia cepacia. Diagn Microbiol Infect Dis. 2007;59:277-81. https://doi.org/10.1016/j.diagmicrobio.2007.06.013
Zong Z, Wang X, Deng Y, Zhou T. Misidentification of Burkholderia pseudomallei as Burkholderia cepacia by the VITEK 2 system. J Med Microbiol. 2012;61:1483-4. https://doi.org/10.1099/jmm.0.041525-0
Podin Y, Kaestli M, McMahon N, Hennessy J, Ngian HU, Wong JS, et al. Reliability of automated biochemical identification of Burkholderia pseudomallei is regionally dependent. J Clin Microbiol. 2013;51:3076-8. https://doi.org/10.1128/JCM.01290-13
Walewski V, Méchaï F, Billard-Pomares T, Juguet W, Jauréguy F, Picard B, et al. MALDI-TOF MS contribution to diagnosis of melioidosis in a nonendemic country in three French travellers. New Microbes and New Infections. 2016;12:31-4. https://doi.org/10.1016/j.nmni.2016.04.004
Wang H, Chen Y-L, Teng S-H, Xu Z-P, Xu Y-C, Hsueh P-R. Evaluation of the bruker biotyper matrix-assisted laser desorption/ionization time-of-flight mass spectrometry system for identification of clinical and environmental isolates of Burkholderia pseudomallei. Front Microbiol. 2016;7:415. https://doi.org/10.3389/fmicb.2016.00415
Kingsley PV, Arunkumar G, Tipre M, Leader M, Sathiakumar N. Pitfalls and optimal approaches to diagnose melioidosis. Asian Pac J Trop Med. 2016;9:515-24. https://doi.org/10.1016/j.apjtm.2016.04.003
Rhodes KA, Schweizer HP. Antibiotic resistance in Burkholderia species. Drug Resist Updat. 2016;28:82-90. https://doi.org/10.1016/j.drup.2016.07.003
Montúfar FE, Varón FA, Giraldo LF, Sáenz OA, Rodríguez A, Alarcón AM, et al. Recomendaciones para el diagnóstico, tratamiento y prevención de la neumonía adquirida en la comunidad en adultos inmunocompetentes. Infectio. 2013;17(Supl.1):1-38. https://doi.org/10.1016/S0123-9392(13)70019-5
Some similar items:
- Carmen Vásquez, Sara Robledo, Jaime Calle, Omar Triana, Identification of new epidemiological scenarios for Chagas disease in the Momposina region, North of Colombia , Biomedica: Vol. 33 No. 4 (2013)
- Julio Cesar Padilla-Rodríguez , Mario Javier Olivera, Pablo Chaparro , Martha Lucía Quiñonez , José Pablo Escobar , Gilberto Álvarez , The malaria eradication campaign in Colombia, 1959-1979 , Biomedica: Vol. 42 No. 2 (2022)
- Pablo Chaparro-Narváez, Willian León-Quevedo, Carlos Andrés Castañeda-Orjuela, Dengue mortality in Colombia, 1985-2012 , Biomedica: Vol. 36 (2016): Suplemento 2, Enfermedades virales
- Tania Camacho, Fernando de la Hoz, Victor Cárdenas, Carmen Sánchez, Laura de Calderón, Ligia Pérez, Antonio Bermúdez, Incomplete surveillance of a dengue-2 epidemic in Ibagué, Colombia, 1995-1997. , Biomedica: Vol. 24 No. 2 (2004)
- Julián A. Fernández-Niño, Claudia I. Astudillo-García, Laura María Segura, Natalia Gómez, Ángela Skantria Salazar, Juan Hember Tabares, Cristian Andrés Restrepo, Miguel Ángel Ruiz, Myriam Consuelo López, Patricia Reyes, Profiles of intestinal polyparasitism in a community of the Colombian Amazon region , Biomedica: Vol. 37 No. 3 (2017)
- Pablo Chaparro, Julio Padilla, Malaria mortality in Colombia, 1979-2008 , Biomedica: Vol. 32 (2012): Suplemento 1, Malaria
- Lyda Esteban, José Mauricio Montes, Víctor Manuel Angulo, Diversity of Triatominae (Hemiptera: Reduviidae) in Santander, Colombia: Epidemiological implications , Biomedica: Vol. 37 No. 1 (2017)
- Jaime Carmona Fonseca, Demographic and epidemiologic changes in Colombia during the 20th century: facts and explanations. , Biomedica: Vol. 25 No. 4 (2005)
- Diana Marcela Echeverry, Juan Miguel Rengifo, Jhon Carlos Castaño, Germán Alberto Téllez, María Mercedes González, Prevalence of Mammomonogamus laryngeus (Strongylida: Syngamidae) nematodes in a bovine slaughterhouse , Biomedica: Vol. 31 No. 3 (2011)
- Juan P. Gómez, Juan C. Quintana, Patricia Arbeláez, Jorge Fernández, Juan F. Silva, Jacqueline Barona, Juan C. Gutiérrez, Abel Díaz, Rafael Otero, Tityus asthenes scorpion stings: epidemiological, clinical and toxicological aspects , Biomedica: Vol. 30 No. 1 (2010)

Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |