Meliodosis Flashcards
1
Q
What causes meliodosis and where is it found?
A
Burkholderia pseudomallei
Northern Australia, SE Asia especially Thailand
2
Q
What does burkholderia pseudomallei look like?
A
G-ve bacilli with bipolar staining
3
Q
How is meliodosis transmitted and how long is its latency period?
A
Contamination of cut with water
Inhalation of aerosolised water
Aspiration of water
1-21 days
4
Q
What are the risk factors for meliodosis?
A
Diabetes
Alcohol
Immunosuppression
Renal disease
5
Q
What clinical syndromes can you get in meliodosis?
A
Asymptomatic- common Neuro Parotitis - 1/3 kids Pneumonia- 50% Prostate abscess Osteomyelitis Septicaemia Derm- eryhematous lesion
6
Q
How do Ohio diagnose meliodosis?
A
Blood cultures
Serology but will be positive if from endemic country
7
Q
How do you treat meliodosis?
A
Very resistant
Meropenem or ceftazidime for 2weeks
Daily doxy and cotrimox for 3 months to eradicate
