title: Burkholderia pseudomallei: a case report of a human infection in Ceará, Brazil.
abstract: Burkholderia pseudomallei has rarely been isolated from environmental and clinical specimens in South America, particularly, in Brazil. This report describes a case of melioidosis with fulminant sepsis in a 10 year old boy, from rural area, in Tejuçuoca, State of Ceará, Brazil. Blood samples were positive and, through the analysis of results from biochemical tests and of drugs susceptibility profile, identified this gram-negative bacillus as B. pseudomallei. The contamination source remains obscure in this case, as soil and water tanks samples submitted to microbiological analyses did not indicate the presence of B. pseudomallei.
authors.affiliation: Laboratório Central de Saúde Pública, Secretaria de Estado da Saúde do Ceará, Fortaleza, Ceará, Brasil.
authors.forename: Iracema Sampaio
authors.initials: IS
authors.lastname: Miralles
authors.forename: Maria do Carmo Alves
authors.initials: Mdo C
authors.lastname: Maciel
authors.forename: Maria Rozzelê Ferreira
authors.initials: MR
authors.lastname: Angelo
authors.forename: Mirna Moura
authors.initials: MM
authors.lastname: Gondini
authors.forename: Luiza Helena Feitosa
authors.initials: LH
authors.lastname: Frota
authors.forename: Cristhiane Moura Falavina
authors.initials: CM
authors.lastname: dos Reis
authors.forename: Ernesto
authors.initials: E
authors.lastname: Hofer
mesh_terms: D001938:Brazil; D016957:Burkholderia pseudomallei / Q000187:drug effects / Q000302:isolation & purification*; D002648:Child; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000175:diagnosis*; D008826:Microbial Sensitivity Tests