Abstract
We report 2 cases of melioidosis in women with diabetes admitted to an emergency department in the US Virgin Islands during October 2017. These cases emerged after Hurricanes Irma and Maria and did not have a definitively identified source. Poor outcomes were observed when septicemia and pulmonary involvement were present.
Keywords:
Burkholderia pseudomallei; Hurricane Irma; Hurricane Maria; St. Thomas/St. John District; US Virgin Islands; United States; antimicrobial resistance; bacteria; hurricanes; melioidosis; natural disaster; public health.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Aged, 80 and over
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Burkholderia pseudomallei / drug effects
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Cyclonic Storms*
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Female
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Humans
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Melioidosis / diagnosis
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Melioidosis / drug therapy
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Melioidosis / epidemiology*
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Microbial Sensitivity Tests
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Middle Aged
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Natural Disasters*
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Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
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United States Virgin Islands / epidemiology
Substances
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Anti-Bacterial Agents
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Trimethoprim, Sulfamethoxazole Drug Combination