title: A case of melioidosis probably acquired by inhalation of dusts during a helicopter flight in a healthy traveler returning from Singapore.
abstract: We present a case of melioidosis in an Italian male returning from Singapore after a short travel. He probably acquired the disease by inhalation, which is not the typical mode of transmission, in the absence of evident risk factors. The diagnosis was confirmed by real-time polymerase chain reaction of the culture while serology was useful to assess professional exposure among laboratory workers. Treatment consisted of an initial intensive phase with meropenem and trimethoprim-sulfamethaxazole (TMP-SMX), followed by 6 months of eradication therapy with TMP-SMX.
authors.affiliation: University Division of Infectious and Tropical Diseases, University of Brescia and Spedali Civili General Hospital, Brescia, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Amadasi
authors.forename: Sarah
authors.initials: S
authors.lastname: Dal Zoppo
authors.forename: Annalisa
authors.initials: A
authors.lastname: Bonomini
authors.forename: Anna
authors.initials: A
authors.lastname: Bussi
authors.forename: Palmino
authors.initials: P
authors.lastname: Pedroni
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Balestrieri
authors.forename: Liana
authors.initials: L
authors.lastname: Signorini
authors.forename: Francesco
authors.initials: F
authors.lastname: Castelli
mesh_terms: D000328:Adult; D000401:Aircraft; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016957:Burkholderia pseudomallei; D004391:Dust; D006801:Humans; D019570:Inhalation Exposure; D008297:Male; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy*; D000077731:Meropenem; D012846:Singapore / Q000453:epidemiology; D013845:Thienamycins / Q000627:therapeutic use; D014195:Travel; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D004391:Dust; D013845:Thienamycins; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000077731:Meropenem