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Euro Surveill. 2011 Jan 6;16(1). pii: 19758.

Fatal acute melioidosis in a tourist returning from Martinique Island, November 2010.

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Department of Community Medicine and Primary Care, Geneva University Hospitals, University of Geneva, Switzerland.


We report the fatal case of acute melioidosis in a patient returning from Martinique with fever in November 2010. Gram-negative rods were isolated from a blood culture and Burkholderia pseudomallei identified within 24 hours after first medical contact. The patient died two days after admission to hospital despite intravenous therapy with high doses of imipenem/cilastatin and intensive care. Clinicians seeing travellers returning from the subtropics or tropics with severe pneumonia or septicaemia should consider the possibility of acute melioidosis.

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