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Verma G, Singh N, Mohanty A, Patro ARK, Pattnaik D. Coexistence of blaNDM and blaOXA-48 Genes in Carbapenem-Resistant Burkholderia pseudomallei Isolated From Pus: A Rare Phenomenon. Cureus 2023; 15:e50671. [PMID: 38229822 PMCID: PMC10790810 DOI: 10.7759/cureus.50671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2023] [Indexed: 01/18/2024] Open
Abstract
Burkholderia pseudomallei causes melioidosis in both humans as well as animals and is classified as a tier 1 pathogen by the US CDC. Melioidosis is a disease that occurs predominantly in subtropical and tropical regions. It is endemic to northern Australia and parts of Southeast Asia, as well as the Indian subcontinent. Diagnosis can be made through history, clinical examination, imaging, and microbiological studies. We report a case where Burkholderia pseudomallei was isolated froma 41-year-old man who complained of pain in the left hip and the left shoulder and swelling in both lower limbs. Chest X-ray showed bilateral consolidation. USG of the left shoulder and bilateral hips showed a mass in the anterior region of the left upper arm and the lateral region of the left thigh. Pus aspirated from left shoulder grew Burkholderia pseudomallei on culture and was carbapenem-resistant. The isolate harbored two carbapenemase genes, blaNDM and blaOXA-48, which is a novel finding.
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Affiliation(s)
- Gaurav Verma
- Department of Microbiology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| | - Nipa Singh
- Department of Microbiology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| | - Ambika Mohanty
- Department of General Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| | - A Raj Kumar Patro
- Department of Molecular Biology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| | - Dipti Pattnaik
- Department of Microbiology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
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Rodríguez JY, Huertas MG, Rodríguez GJ, Vargas-Otalora S, Benıtez-Peñuela MA, Esquea K, Rios R, Mendoza LR, Diaz L, Reyes J, Álvarez-Moreno CA. Case Report: Gestational Melioidosis through Perinatal Transmission. Am J Trop Med Hyg 2020; 103:1838-1840. [PMID: 32748772 DOI: 10.4269/ajtmh.20-0223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Burkholderia pseudomallei is an emerging pathogen in the Americas. Cases of mother-to-child transmission of B. pseudomallei are rare and probably occur by placental or perinatal infection. We report the first case of native gestational and neonatal melioidosis in the Western hemisphere. The isolated strains in the mother and newborn were confirmed by whole-genome sequencing and identified as a novel sequence type ST1748. The comparison of both genomes revealed a nucleotide similarity of 100%. Melioidosis should be considered within the differential diagnosis of febrile illness or pneumonia in pregnant women and newborns from endemic areas of the Americas.
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Affiliation(s)
- José Y Rodríguez
- Centro de Investigaciones Microbiológicas del Cesar (CIMCE), Valledupar, Colombia.,Clínica Laura Daniela, Valledupar, Colombia
| | - Mónica G Huertas
- Facultad de Medicina, Universidad El Bosque, Bogotá, Colombia.,Molecular Genetics and Antimicrobial Resistance Unit, International Center for Microbial Genomics, Universidad El Bosque, Bogotá, Colombia
| | - Gerson J Rodríguez
- Facultad de Medicina, Universidad del Norte, Barranquilla, Colombia.,Centro de Investigaciones Microbiológicas del Cesar (CIMCE), Valledupar, Colombia
| | - Sandra Vargas-Otalora
- Molecular Genetics and Antimicrobial Resistance Unit, International Center for Microbial Genomics, Universidad El Bosque, Bogotá, Colombia
| | | | | | - Rafael Rios
- Molecular Genetics and Antimicrobial Resistance Unit, International Center for Microbial Genomics, Universidad El Bosque, Bogotá, Colombia
| | - Laura R Mendoza
- Facultad de Medicina, Universidad del Norte, Barranquilla, Colombia.,Clínica Laura Daniela, Valledupar, Colombia
| | - Lorena Diaz
- Molecular Genetics and Antimicrobial Resistance Unit, International Center for Microbial Genomics, Universidad El Bosque, Bogotá, Colombia
| | - Jinnethe Reyes
- Molecular Genetics and Antimicrobial Resistance Unit, International Center for Microbial Genomics, Universidad El Bosque, Bogotá, Colombia
| | - Carlos A Álvarez-Moreno
- Clínica Colsanitas, Clínica Universitaria Colombia, Bogotá, Colombia.,Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia
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