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Original Article
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Korean J Med. 2009;77(2):246-250.
- 캄보디아 여행 후 발병한 치명적인 melioidosis 1예
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손자영·권기태·최은정·박종필·송도영·이제철·최철희, , , , , ,
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- Fatal melioidosis in a tourist returning from Cambodia
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Ja Young Son, Ki Tae Kwon, Eun Jung Choi, Jong Pil Park, Do Young Song, Je Chul Lee, Chull Hee Choi
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- Abstract
- Melioidosis, which is infection with the Gram-negative bacterium Burkholderia pseudomallei, is an important cause of sepsis in
Southeast Asia and northern Australia and mainly affects diabetics who come into direct contact with wet soil. It presents as a febrile
illness, ranging from an acute fulminant septicemia to a chronic debilitating localized infection. Only two cases of chronic infection
have been reported in Korea. Both patients had lived in Southeast Asia for more than 1 year. We report a case of melioidosis
presenting as acute fulminant septicemia and pneumonia in a 47-year-old diabetic male who had visited Cambodia for 4 days, 1
month before admission. He died of refractory septic shock and multi-organ failure within 10 hours of admission. Melioidosis
should be suspected in any severely ill febrile patient with an underlying predisposing condition who lives in, or has travelled from,
an endemic area. (Korean J Med 77:246-250, 2009)
Keywords :Melioidosis, Burkholderia pseudomallei, Septicemia
