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Fatal septicemic melioidosis in a young military person possibly co-infected with Leptospira interrogans and Orientia tsutsugamushi.
Kaohsiung J Med Sci. 2005 Apr; 21(4):173-8.KJ

Abstract

Concurrent melioidosis, leptospirosis, and scrub typhus after rural activities is rarely reported. A 19-year-old previously healthy man had fever onset after 2 weeks of military training. Pneumonia became evident on the fifth day of fever under intravenous penicillin and oral minocycline therapy. Acute respiratory failure developed the next day with shock and acute renal and liver function deterioration, which resulted in death. Blood cultures on the third and fifth days grew Burkholderia pseudomallei. Serology revealed leptospirosis and scrub typhus. The emergence of melioidosis in Taiwan and this death without antibiotic treatment for melioidosis alert us that B. pseudomallei should be included as a possible pathogen of pneumonia and sepsis, especially after rural activities.

Authors+Show Affiliations

Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. d830166@cc.kmu.edu.twNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15909673

Citation

Lu, Po-Liang, and Shu-Hui Tseng. "Fatal Septicemic Melioidosis in a Young Military Person Possibly Co-infected With Leptospira Interrogans and Orientia Tsutsugamushi." The Kaohsiung Journal of Medical Sciences, vol. 21, no. 4, 2005, pp. 173-8.
Lu PL, Tseng SH. Fatal septicemic melioidosis in a young military person possibly co-infected with Leptospira interrogans and Orientia tsutsugamushi. Kaohsiung J Med Sci. 2005;21(4):173-8.
Lu, P. L., & Tseng, S. H. (2005). Fatal septicemic melioidosis in a young military person possibly co-infected with Leptospira interrogans and Orientia tsutsugamushi. The Kaohsiung Journal of Medical Sciences, 21(4), 173-8.
Lu PL, Tseng SH. Fatal Septicemic Melioidosis in a Young Military Person Possibly Co-infected With Leptospira Interrogans and Orientia Tsutsugamushi. Kaohsiung J Med Sci. 2005;21(4):173-8. PubMed PMID: 15909673.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal septicemic melioidosis in a young military person possibly co-infected with Leptospira interrogans and Orientia tsutsugamushi. AU - Lu,Po-Liang, AU - Tseng,Shu-Hui, PY - 2005/5/25/pubmed PY - 2005/6/10/medline PY - 2005/5/25/entrez SP - 173 EP - 8 JF - The Kaohsiung journal of medical sciences JO - Kaohsiung J Med Sci VL - 21 IS - 4 N2 - Concurrent melioidosis, leptospirosis, and scrub typhus after rural activities is rarely reported. A 19-year-old previously healthy man had fever onset after 2 weeks of military training. Pneumonia became evident on the fifth day of fever under intravenous penicillin and oral minocycline therapy. Acute respiratory failure developed the next day with shock and acute renal and liver function deterioration, which resulted in death. Blood cultures on the third and fifth days grew Burkholderia pseudomallei. Serology revealed leptospirosis and scrub typhus. The emergence of melioidosis in Taiwan and this death without antibiotic treatment for melioidosis alert us that B. pseudomallei should be included as a possible pathogen of pneumonia and sepsis, especially after rural activities. SN - 1607-551X UR - https://www.unboundmedicine.com/medline/citation/15909673/Fatal_septicemic_melioidosis_in_a_young_military_person_possibly_co_infected_with_Leptospira_interrogans_and_Orientia_tsutsugamushi_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1607-551X(09)70297-9 DB - PRIME DP - Unbound Medicine ER -