title: Fatal melioidosis in a tourist returning from Thailand.
abstract: Severe infections with Pseudomonas pseudomallei, the causative agent of melioidosis, is a common cause of community acquired septicaemia in South East Asia and parts of Northern Australia, but infection in travellers returning to the United Kingdom is extremely rare. We describe the case of a tourist who acquired melioidosis in Thailand. Despite intensive intravenous therapy with antibiotics to which the organism was sensitive, the patient's infection proved fatal. Ps. pseudomallei was isolated from blood cultures at a late stage in his illness by use of a commercial blood culture system that included an antibiotic removal device (Bac/TAlert, Organon-Technica).
authors.affiliation: Department of Medicine, Addenbrooke's Hospital, Cambridge, U.K.
authors.forename: D
authors.initials: D
authors.lastname: Wilks
authors.forename: S K
authors.initials: SK
authors.lastname: Jacobson
authors.forename: A M
authors.initials: AM
authors.lastname: Lever
authors.forename: M
authors.initials: M
authors.lastname: Farrington
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000382:microbiology; D016957:Burkholderia pseudomallei / Q000302:isolation & purification; D004739:England; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000188:drug therapy / Q000382:microbiology; D008875:Middle Aged; D013785:Thailand; D014195:Travel
chemical_list: D000900:Anti-Bacterial Agents