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Title: Emergence of melioidosis in Indonesia
Authors: Patricia M. Tauran
Nurhayana Sennang
Benny Rusli
W. Joost Wiersinga
David Dance
Mansyur Arif
Direk Limmathurotsakul
University of Amsterdam
Hasanuddin University
Centre of Tropical Medicine and Travel Medicine
Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU)
Mahidol University
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Dec-2015
Citation: American Journal of Tropical Medicine and Hygiene. Vol.93, No.6 (2015), 1160-1163
Abstract: © 2015 by The American Society of Tropical Medicine and Hygiene. Melioidosis is known to be highly endemic in parts of southeast Asia and northern Australia; however, cases are rarely reported in Indonesia. Here we report three cases of melioidosis in Makassar, South Sulawesi, Indonesia occurring between 2013 and 2014. Two patients died and the other was lost to follow-up. Burkholderia pseudomallei isolates from all three cases were identified by the VITEK2 Compact installed in the hospital in 2012. None of the three patients reported received antimicrobials recommended for melioidosis because of the delayed recognition of the organism. We reviewed the literature and found only seven reports of melioidosis in Indonesia. Five were reported before 1960. We suggest that melioidosis is endemic throughout Indonesia but currently under-recognized. Training on how to identify B. pseudomallei accurately and safely in all available microbiological facilities should be provided, and consideration should be given to making melioidosis a notifiable disease in Indonesia.
ISSN: 00029637
Appears in Collections:Scopus 2011-2015

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