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Fatal Burkholderia pseudomallei infection initially reported as a Bacillus species, Ohio, 2013.
Am J Trop Med Hyg. 2014 Oct; 91(4):743-6.AJ

Abstract

A fatal case of melioidosis was diagnosed in Ohio one month after culture results were initially reported as a Bacillus species. To identify a source of infection and assess risk in patient contacts, we abstracted patient charts; interviewed physicians and contacts; genetically characterized the isolate; performed a Burkholderia pseudomallei antibody indirect hemagglutination assay on household contacts and pets to assess seropositivity; and collected household plant, soil, liquid, and insect samples for culturing and real-time polymerase chain reaction testing. Family members and pets tested were seronegative for B. pseudomallei. Environmental samples were negative by real-time polymerase chain reaction and culture. Although the patient never traveled internationally, the isolate genotype was consistent with an isolate that originated in Southeast Asia. This investigation identified the fifth reported locally acquired non-laboratory melioidosis case in the contiguous United States. Physicians and laboratories should be aware of this potentially emerging disease and refer positive cultures to a Laboratory Response Network laboratory.

Authors+Show Affiliations

Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio thomas.doker@gmail.com.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.Epidemic Intelligence Service, and Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Ohio Department of Health, Columbus, Ohio; Pike County General Health District, Waverly, Ohio.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25092821

Citation

Doker, Thomas J., et al. "Fatal Burkholderia Pseudomallei Infection Initially Reported as a Bacillus Species, Ohio, 2013." The American Journal of Tropical Medicine and Hygiene, vol. 91, no. 4, 2014, pp. 743-6.
Doker TJ, Quinn CL, Salehi ED, et al. Fatal Burkholderia pseudomallei infection initially reported as a Bacillus species, Ohio, 2013. Am J Trop Med Hyg. 2014;91(4):743-6.
Doker, T. J., Quinn, C. L., Salehi, E. D., Sherwood, J. J., Benoit, T. J., Glass Elrod, M., Gee, J. E., Shadomy, S. V., Bower, W. A., Hoffmaster, A. R., Walke, H. T., Blaney, D. D., & DiOrio, M. S. (2014). Fatal Burkholderia pseudomallei infection initially reported as a Bacillus species, Ohio, 2013. The American Journal of Tropical Medicine and Hygiene, 91(4), 743-6. https://doi.org/10.4269/ajtmh.14-0172
Doker TJ, et al. Fatal Burkholderia Pseudomallei Infection Initially Reported as a Bacillus Species, Ohio, 2013. Am J Trop Med Hyg. 2014;91(4):743-6. PubMed PMID: 25092821.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal Burkholderia pseudomallei infection initially reported as a Bacillus species, Ohio, 2013. AU - Doker,Thomas J, AU - Quinn,Celia L, AU - Salehi,Ellen D, AU - Sherwood,Joshua J, AU - Benoit,Tina J, AU - Glass Elrod,Mindy, AU - Gee,Jay E, AU - Shadomy,Sean V, AU - Bower,William A, AU - Hoffmaster,Alex R, AU - Walke,Henry T, AU - Blaney,David D, AU - DiOrio,Mary S, AU - ,, Y1 - 2014/08/04/ PY - 2014/8/6/entrez PY - 2014/8/6/pubmed PY - 2015/3/17/medline SP - 743 EP - 6 JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. VL - 91 IS - 4 N2 - A fatal case of melioidosis was diagnosed in Ohio one month after culture results were initially reported as a Bacillus species. To identify a source of infection and assess risk in patient contacts, we abstracted patient charts; interviewed physicians and contacts; genetically characterized the isolate; performed a Burkholderia pseudomallei antibody indirect hemagglutination assay on household contacts and pets to assess seropositivity; and collected household plant, soil, liquid, and insect samples for culturing and real-time polymerase chain reaction testing. Family members and pets tested were seronegative for B. pseudomallei. Environmental samples were negative by real-time polymerase chain reaction and culture. Although the patient never traveled internationally, the isolate genotype was consistent with an isolate that originated in Southeast Asia. This investigation identified the fifth reported locally acquired non-laboratory melioidosis case in the contiguous United States. Physicians and laboratories should be aware of this potentially emerging disease and refer positive cultures to a Laboratory Response Network laboratory. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/25092821/Fatal_Burkholderia_pseudomallei_infection_initially_reported_as_a_Bacillus_species_Ohio_2013_ L2 - http://www.ajtmh.org/content/journals/10.4269/ajtmh.14-0172?crawler=true&mimetype=application/pdf DB - PRIME DP - Unbound Medicine ER -