RESUMO
Burkholderia pseudomallei (melioidosis) is usually found in endemic areas of Southeast Asia and Northern Australia. However, a few cases of confirmed melioidosis indigenous to Puerto Rico and the Americas have been reported previously. We describe the occurrence of a B. pseudomallei infection in a female with insulin-dependent diabetes mellitus exposed to flood waters in Puerto Rico. We conclude that B. pseudomallei should be considered a potential pathogen in high-risk patients with severe community-acquired pneumonia and sepsis in Puerto Rico especially in individuals exposed to flood waters during rainy seasons. A more thorough epidemiologic and microbiologic surveillance with environmental sampling may be warranted in the island
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Burkholderia pseudomallei/isolamento & purificação , Infecções Comunitárias Adquiridas/microbiologia , Melioidose/microbiologia , Pneumonia Bacteriana/microbiologia , Sepse/microbiologia , Antibacterianos/uso terapêutico , Evolução Fatal , Infecções Comunitárias Adquiridas/diagnóstico , Infecções Comunitárias Adquiridas/tratamento farmacológico , Melioidose/diagnóstico , Melioidose/tratamento farmacológico , Desastres Naturais , Porto Rico , Pneumonia Bacteriana/diagnóstico , Pneumonia Bacteriana/tratamento farmacológico , Respiração Artificial/métodos , Sepse/diagnóstico , Sepse/tratamento farmacológicoRESUMO
We describe a patient with a non-0:1, non-0:139 Vibrio cholerae septicemia associated with ecythema gangrenosa-like skin lesions. The patient acquired the infection in Puerto Rico. Given the high fatality rate, it is important for the medical community to consider the diagnosis in high risk patients with exposures in Puerto Rico tropical waters