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Am. J. Trop. Med. Hyg., 73(6), 2005, pp. 1165-1166
Copyright © 2005 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


DISEASE SEVERITY AND OUTCOME OF MELIOIDOSIS IN HIV COINFECTED INDIVIDUALS

WIRONGRONG CHIERAKUL*, VANAPORN WUTHIEKANUN, WIPADA CHAOWAGUL, PREMJIT AMORNCHAI, ALLEN C. CHENG, NICHOLAS J. WHITE, NICHOLAS P. J. DAY, AND SHARON J. PEACOCK
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Medical Department, Sappasithiprasong Hospital, Ubon Ratchathani, Thailand; Menzies School of Health Research, Charles Darwin University, Darwin, and The Geelong Hospital, Barwon Health, Geelong Australia; Center for Clinical Vaccinology and Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom

 

ABSTRACT

This study examined whether coinfection with HIV and Burkholderia pseudomallei leads to altered disease severity or outcome associated with melioidosis. Coinfection was detected in only 8 of 524 (1.5%) adults with melioidosis in northeast Thailand. Clinical presentation and acute outcome were similar in HIV-positive and HIV-negative patients.

Received July 20, 2005. Accepted for publication August 3, 2005.

Acknowledgments: We are grateful for the assistance of staff at the Sappasithiprasong Hospital and to Dr. Stuart Blacksell.

Financial support: S.J.P. is supported by a Wellcome Trust Career Development Award in Clinical Tropical Medicine. This study was a part of the Wellcome Trust-Mahidol University-Oxford Tropical Medicine Research Programme funded by the Wellcome Trust.

* Address correspondence to Wirongrong Chierakul, Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, 10400, Thailand. E-mail: alwcr{at}diamond.mahidol.ac.th

Authors’ addresses: Wirongrong Chierakul, Vanaporn Wuthiekanun, and Premjit Amornchai, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, Thailand 10400. Wipada Chaowagul, Medical Department, Sappasithiprasong Hospital, Sappasith Road, Muang District, Ubon Ratchathani, Thailand. Allen C. Cheng, Menzies School of Health Research, Charles Darwin University, Darwin, Australia, and The Geelong Hospital, Barwon Health, Geelong, Australia. Nicholas J. White, Nicholas P. J. Day, and Sharon J. Peacock, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, Thailand 10400, and Center for Clinical Vaccinology and Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford OX3 7LJ, United Kingdom.

Reprint requests: Dr. Wirongrong Chierakul, Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, 10400, Thailand. Telephone: 66-2-354-1395, Fax: 66-2-354-9169, E-mail: alwcr{at}diamond.mahidol.ac.th.




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Copyright © 2005 by the American Society of Tropical Medicine and Hygiene.