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Am. J. Trop. Med. Hyg., 81(2), 2009, pp. 335-337
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


Patterns of Organ Involvement in Recurrent Melioidosis

Direk Limmathurotsakul*, Wipada Chaowagul, Nicholas P. J. Day, AND Sharon J. Peacock
Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Medical Department, Sappasithiprasong Hospital, Ubon Ratchathani, Thailand; Center for Clinical Vaccinology and Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom

 

ABSTRACT

Recurrent melioidosis can be caused by two different mechanisms: relapse or re-infection. We examined the pattern of organ involvement in the first and second episodes in individual patients. Evaluation of 140 patients with recurrence showed that similar patterns of disease occurred during the first and second episode, independent of whether this was caused by relapse or re-infection.

Received March 10, 2009. Accepted for publication April 18, 2009.

Acknowledgments: We gratefully acknowledge the support provided by staff at the Mahidol-Oxford Tropical Medicine Research Unit and at Sapprasithiprasong Hospital. We are very grateful to all staff who participated in patient enrollment during the 20-year study period.

Financial support: This study was funded by The Wellcome Trust.

* Address correspondence to Direk Limmathurotsakul, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok 10400, Thailand. E-mail: direk{at}tropmedres.ac

Authors’ addresses: Direk Limmathurotsakul, Mahidol–Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, 10400, Thailand, E-mail: direk{at}tropmedres.ac . Wipada Chaowagul, Sappasithiprasong Hospital, Ubon Ratchathani Hospital, Ubon Ratchathani, Thailand, 34000, E-mail: vipada_1{at}yahoo.com . Nicholas P. J. Day and Sharon J. Peacock, Center for Clinical Vaccinology and Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, OX3 7LJ, U.K., E-mails: nickd{at}tropmedres.ac and sharon{at}tropmedres.ac .






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.