Notes From the Field: Travel-Associated Melioidosis and Resulting Laboratory Exposures — U.S. 2016

Details

• Journal Article:
  MMWR Morb Mortal Wkly Rep
• Personal Author:
  Mitchell, Patrick K. ; Campbell, Colin ; Montgomery, Martha P. ; Paoline, Julie ; Wilbur, Christopher ; Posivak-Khouly, Leah ; Garafalo, Kristin ; Elrod, Mindy ; Liu, Lindy ; Weltman, Andre
• Description:
  In mid-July 2016, a Pennsylvania resident aged 15 years who had recently returned from Thailand was treated by a pediatrician for sore throat, fever, and bilateral thigh abscesses at the sites of mosquito bites (Figure). She had traveled to northeast Thailand with nine other teens as part of an 18-day service-oriented trip run by an Ohio-based youth tour company that arranges travel to Thailand for approximately 500 persons annually. This trip included construction and agricultural activities and recreational mud exposures. The patient subsequently developed right inguinal lymphadenopathy and worsening abscesses, which prompted specimen collection for culture on August 25. This specimen was sent to a commercial laboratory in New Jersey, which identified Burkholderia Pseudomallei, the causative organism of melioidosis, on August 30. The patient did not experience pneumonia or bacteremia, and recovered fully after 2 weeks of intensive therapy with parenteral ceftazidime and a 6-month outpatient course of eradication therapy with doxycycline.
• Subjects:
  Adolescent Burkholderia Pseudomallei Female Humans Laboratories Melioidosis Occupational Exposure Travel
• Source:
  MMWR: Morbidity and Mortality Weekly Report 2017; v. 66, no. 37
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/MMWRmm6637a8
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  28934180
• Pubmed Central ID:
  PMC5657778
• Document Type:
  Journal Article
• Place as Subject:
  Thailand ; U.S.
• Pages in Document:
  p. 1001-1002
• Volume:
  66
• Issue:
  37
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:50a2a5a054dfc8c336dace445741070e656d2fbfe6d0980654a9273503d39a5ce3731a03f4e9ee86f436651da2d7d5c3da36488ddad77a3fe6f70943067c4601
• Download URL:
  https://stacks.cdc.gov/view/cdc/54642/cdc_54642_DS1.pdf
• File Type:
  [PDF - 110.42 KB ]