title: A fatal case of melioidosis with pancytopenia in a traveler from Indonesia.
abstract: Melioidosis, an infectious disease with high mortality, caused by Burkholderia pseudomallei, is endemic in southeast Asia and northern Australia. In Indonesia, autochthonous cases have been rarely reported, with most cases being sporadic and occurring in travelers. Herein, we report a fatal case of neurological melioidosis in a traveler from Indonesia presenting with septic shock.
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan. Electronic address: ykatanami@hosp.ncgm.go.jp.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Katanami
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kutsuna
authors.affiliation: Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, Japan.
authors.forename: Atsuko
authors.initials: A
authors.lastname: Horino
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Hashimoto
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Mutoh
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Yamamoto
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Nozomi
authors.initials: N
authors.lastname: Takeshita
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Kayoko
authors.initials: K
authors.lastname: Hayakawa
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Shuzo
authors.initials: S
authors.lastname: Kanagawa
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kato
authors.affiliation: Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan.
authors.forename: Norio
authors.initials: N
authors.lastname: Ohmagari
mesh_terms: D000328:Adult; D016957:Burkholderia pseudomallei / Q000472:pathogenicity; D006801:Humans; D007214:Indonesia; D008297:Male; D008554:Melioidosis / Q000150:complications* / Q000401:mortality*; D010198:Pancytopenia / Q000209:etiology* / Q000401:mortality*; D012772:Shock, Septic / Q000209:etiology / Q000401:mortality
keywords: Brain abscess; Burkholderia pseudomallei; Melioidosis; Neurological melioidosis; Neutropenia