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Biomédica (Bogotá) ; 39(supl.1): 10-18, mayo 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1011451

ABSTRACT

Resumen La melioidosis es una enfermedad infecciosa causada por Burkholderia pseudomallei cuyo diagnóstico clínico puede ser difícil debido a su variada presentación clínica y a las dificultades del diagnóstico microbiológico, por lo cual pueden requerirse técnicas moleculares para su adecuada identificación una vez se sospecha su presencia. Son pocos los antibióticos disponibles para el tratamiento de esta enfermedad y, además, deben usarse durante un tiempo prolongado. Aunque se conoce por ser endémica en Tailandia, Malasia, Singapur, Vietnam y Australia, en Colombia se han reportado algunos pocos casos. Se presenta un caso de melioidosis en la región norte de Colombia, se hace una revisión de las características clínicas y el tratamiento, y se describe la epidemiología local de esta enfermedad.


Abstract Melioidosis is an infectious disease caused by Burkholderia pseudomallei whose clinical diagnosis can be difficult due not only to its varied clinical presentation but also to the difficulties in the microbiological diagnosis.Thus, it may be necessary to use molecular techniques for its proper identification once it is suspected. There are few antibiotics available for the treatment of this disease, which must be used over a long period of time. Although it is known to be endemic in Thailand, Malaysia, Singapore, Vietnam, and Australia, in Colombia there are few reported cases. We describe a case of melioidosis in the northern region of Colombia. Additionally, we review its clinical characteristics and treatment and we describe the local epidemiology of this disease.


Subject(s)
Humans , Male , Middle Aged , Melioidosis/epidemiology , Recurrence , Urinary Tract Infections/diagnosis , Urinary Tract Infections/microbiology , Urinary Tract Infections/drug therapy , Toes/surgery , Toes/microbiology , Patient Compliance , Burkholderia pseudomallei/isolation & purification , Immunocompromised Host , Colombia/epidemiology , Ribotyping , Diabetes Mellitus, Type 2/complications , Foot Diseases/surgery , Amputation, Surgical , Kidney Failure, Chronic/complications , Melioidosis/diagnosis , Melioidosis/drug therapy , Anti-Bacterial Agents/therapeutic use
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