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Seung Woo Kim 1 Article
Imported Melioidosis in South Korea: A Case Series with a Literature Review
Seung Woo Kim, Geun-Yong Kwon, Bongyoung Kim, Donghyok Kwon, Jaeseung Shin, Geun-Ryang Bae
Osong Public Health Res Perspect. 2015;6(6):363-368.   Published online December 31, 2015
DOI: https://doi.org/10.1016/j.phrp.2015.10.014
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  • 10 Citations
AbstractAbstract PDF
Objectives
Melioidosis is a potentially fatal infectious disease caused by the environmental anaerobic Gram-negative bacillus Burkholderia pseudomallei. Melioidosis is endemic to areas of northern Australia and Southeast Asia. With increasing international travel and migration, imported cases of melioidosis are being reported regularly. Here, we summarize the 11 cases of melioidosis reported in South Korea from 2003 to 2014.
Methods
Tracing epidemiological investigations were performed on every patient reported to the National Surveillance System since 2011. A systematic literature search was performed to identify melioidosis cases that occurred prior to 2011.
Results
The overall fatality rate was 36.4%. All the patients had visited Southeast Asia where melioidosis is endemic. The stay in the endemic region ranged from 4 days to 20 years. Of the seven patients who developed initial symptoms after returning to South Korea, the time interval between returning to South Korea and symptom onset ranged from 1 day to 3 years. The remaining four patients developed symptoms during their stay in the endemic region and were diagnosed with melioidosis in South Korea. Seven (63.6%) patients possessed at least one risk factor, all of whom were diabetic. Pneumonia was the most frequent clinical manifestation, but the patients showed a wide spectrum of clinical features, including internal organ abscesses, a mycotic aneurysm of the aorta, and coinfection with tuberculosis.
Conclusion
An early diagnosis and initiation of the appropriate antibiotics can reduce the mortality of melioidosis. Consequently, increased awareness of the risk factors and clinical features of melioidosis is required.

Citations

Citations to this article as recorded by  
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    Medicine.2021; 100(25): e26160.     CrossRef
  • Tuberculosis and Melioidosis at Distinct Sites Occurring Simultaneously
    Seow Yen Tan
    Case Reports in Infectious Diseases.2020; 2020: 1.     CrossRef
  • Burkholderia pseudomallei pathogenesis and survival in different niches
    Chee-Hoo Yip, Ahmad-Kamal Ghazali, Sheila Nathan
    Biochemical Society Transactions.2020; 48(2): 569.     CrossRef
  • Mycotic aneurysm secondary to melioidosis in China: A series of eight cases and a review of literature
    Hua Wu, Xuming Wang, Xiaojun Zhou, Zhicheng Wu, Yanyan Wang, Mengjie Pan, Binghuai Lu, Susanna Jane Dunachie
    PLOS Neglected Tropical Diseases.2020; 14(8): e0008525.     CrossRef
  • Fatal deep venous thrombosis and pulmonary embolism secondary to melioidosis in China: case report and literature review
    Hua Wu, Dongliang Huang, Biao Wu, Mengjie Pan, Binghuai Lu
    BMC Infectious Diseases.2019;[Epub]     CrossRef
  • Melioidosis in the Philippines
    Peter San Martin, Joseph Chua, Ralph Bautista, Jennifer Nailes, Mario Panaligan, David Dance
    Tropical Medicine and Infectious Disease.2018; 3(3): 99.     CrossRef
  • Clinical and Imaging Findings of Musculoskeletal Melioidosis in the Right Hip: A Case Report
    Myung Hyun Kim, Tong Jin Chun
    Journal of the Korean Society of Radiology.2018; 78(3): 212.     CrossRef
  • Draft Genome Sequence of the First South Korean Clinical Isolate of Burkholderia pseudomallei, H0901
    Yong-Woo Shin, Myung-Min Choi, Jeong-Hoon Chun, Jae-Yon Yu, Dae-Won Kim, Gi-eun Rhie
    Genome Announcements.2018;[Epub]     CrossRef
  • Accidental Occupational Exposure to Burkholderia pseudomallei in South Korea Did Not Result in Melioidosis
    Jae-Bum Jun, Taehoon Lee, Joseph Jeong, Jeong-Hoon Chun, Yong-Woo Shin, Jiwon Jung
    Infection Control & Hospital Epidemiology.2017; 38(7): 886.     CrossRef
  • Molecular detection of leptospirosis and melioidosis co-infection: A case report
    Mohammad R. Mohd Ali, Amira W. Mohamad Safiee, Padmaloseni Thangarajah, Mohd H. Fauzi, Alwi Muhd Besari, Nabilah Ismail, Chan Yean Yean
    Journal of Infection and Public Health.2017; 10(6): 894.     CrossRef

PHRP : Osong Public Health and Research Perspectives