Melioidosis in children from southern coastal India

Kanaparthi, Shravan and Mundkur, Suneel C and Chakravarthy, Kalyana and Hebbar, Shrikiran and Mantha, Ujjwala (2017) Melioidosis in children from southern coastal India. Pediatric Oncall, 14 (4). pp. 85-87. ISSN 0973-0958

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Abstract

Melioidosis is an infectious disease caused by a gram-negative bacillus, Burkholderia pseudomallei. It is known to be endemic in Southeast Asia and Northern Australia. There is a recent surge in cases from coastal India. We hereby report four episodes of Melioidosis in 3 children with one child having a recurrent episode. One child was male and two were female, with all the children aged more than ten years (range 10-14years). Fever was the most common symptom followed by abdominal and bone pain in 50% of episodes. Immunocompromised state (post-splenectomy status and steroid therapy) as a predisposing factor was present in 2 children. One child presented with septicemia and succumbed within 72 hours of admission. Ceftazidime/Meropenem and cotrimoxazole were used in intensive and eradication phase respectively. A comprehensive knowledge and high index of suspicion are required to diagnose Melioidosis. Prolonged treatment course with appropriate antibiotics would help in minimizing the mortality and morbidity in children.

Item Type: Article
Uncontrolled Keywords: Burkholderia; melioidosis; abscess.
Subjects: Medicine > KMC Manipal > Paediatrics
Depositing User: KMC Library
Date Deposited: 15 Jan 2018 06:22
Last Modified: 15 Jan 2018 06:22
URI: http://eprints.manipal.edu/id/eprint/147800

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