Volume 71, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


Two mechanics working at a garage in tropical northern Australia simultaneously developed upper limb melioidosis ulcers. Both patients had of identical pulsed-field gel electrophoresis (PFGE) type ( I). Environmental sampling identified in a container of commercial hand wash detergent as the likely source of infection, although there were multiple isolates of different PFGE types to the clinical isolates.


Article metrics loading...

Loading full text...

Full text loading...



  1. Leelarasamee A, Bovornkitti S, 1989. Melioidosis: review and update. Rev Infect Dis 11 : 413–425.
  2. Leelarasamee A, 2000. Melioidosis in southeast Asia. Acta Trop 74 : 129–132.
  3. Currie BJ, 2000. Melioidosis: an Australian perspective of an emerging infectious disease. Recent Adv Microbiol 8 : 1–75.
  4. Dance DA, 2000. Melioidosis as an emerging global problem. Acta Trop 74 : 115–119.
  5. Choy JL, Mayo M, Janmaat A, Currie BJ, 2000. Animal melioidosis in Australia. Acta Trop 74 : 153–158.
  6. Currie BJ, 2003. Melioidosis: an important cause of pneumonia in residents of and travellers returned from endemic regions. Eur Respir J 22 : 542–550.
  7. White NJ, 2003. Melioidosis. Lancet 361 : 1715–1722.
  8. Currie BJ, Fisher DA, Howard DM, Burrow JN, Lo D, Selva-Nayagam S, Anstey NM, Huffam SE, Snelling PL, Marks PJ, Stephens DP, Lum GD, Jacups SP, Krause VL, 2000. Endemic melioidosis in tropical northern Australia; a 10–year prospective study and review of the literature. Clin Infect Dis 31 : 981–986.
  9. Cheng AC, Hanna JN, Norton R, Hills SL, Davis J, Krause VL, Dowse G, Inglis TJ, Currie BJ, 2003. Melioidosis in northern Australia, 2001–02. Commun Dis Intell 27 : 272–277.
  10. Suputtamongkol Y, Hall AJ, Dance DA, Chaowagul W, Rajchanuvong A, Smith MD, White NJ, 1994. The epidemiology of melioidosis in Ubon Ratchatani, northeast Thailand. Int J Epidemiol 23 : 1082–1090.
  11. Chaowagul W, White NJ, Dance DA, Wattanagoon Y, Naigowit P, Davis TM, Looareesuwan S, Pitakwatchara N, 1989. Melioidosis: a major cause of community-acquired septicemia in northeastern Thailand. J Infect Dis 159 : 890–899.
  12. Merianos A, Patel M, Lane JM, Noonan CN, Sharrock D, Mock PA, Currie BJ, 1993. The 1990–1991 outbreak of melioidosis in the Northern Territory of Australia: epidemiology and environmental studies. Southeast Asian J Trop Med Public Health 24 : 425–435.
  13. Asche V, 1991. Melioidosis: a disease for all organs. Today’s Life Science June : 34–40.
  14. Guard RW, Khafagi FA, Brigden MC, Ashdown LR, 1984. Melioidosis in far north Queensland. A clinical and epidemiological review of twenty cases. Am J Trop Med Hyg 33 : 467–473.
  15. Suputtamongkol Y, Chaowagul W, Chetchotisakd P, Lertpatanasuwun N, Intaranongpai S, Ruchutrakool T, Budhsarawong D, Mootsikapun P, Wuthiekanun V, Teerawatasook N, Lulitanond A, 1999. Risk factors for melioidosis and bacteremic melioidosis. Clin Infect Dis 29 : 408–413.
  16. Kaufmann ME, Pitt TL, 1994. Pulsed-field electrophoresis of bacterial DNA. Chart H, ed. Methods in Practical Laboratory Bacteriology. Boca Raton, FL: CRC Press Inc., 83–92.
  17. Bio-Rad Laboratories, 1992. CHEF-DR III Pulsed Field Electrophoresis Systems: Instruction Manual and Applications Guide. Hercules, CA: Bio-Rad Laboratories.
  18. Romling U, Tümmler B, 2000. Achieving 100% typeability of Pseudomonas aeruginosa by pulsed-field gel electrophoresis. J Clin Microbiol 38 : 464–465.
  19. Brooks SE, Walczak MA, Hameed R, Coonan P, 2002. Chlorhexidine resistance in antibiotic-resistant bacteria isolated from the surfaces of dispensers of soap containing chlorhexidine. Infect Control Hosp Epidemiol 23 : 692–695.
  20. D’Errico MM, Savini S, Prospero E, Annino I, 2000. Report on a packaged handwashing antiseptic contaminated with Pseudomonas aeruginosa. Infect Control Hosp Epidemiol 21 : 302.
  21. Oie S, Kamiya A, 1996. Microbial contamination of antiseptics and disinfectants. Am J Infect Control 24 : 389–395.
  22. Graf W, Kersch D, Scherzer G, 1988. Microbial contamination of liquid-soap wall dispensers with one-way bottles. Zentralbl Bakteriol Mikrobiol Hyg B 186 : 166–179.
  23. Werry C, Lawrence JM, Sanderson PJ, 1988. Contamination of detergent cleaning solutions during hospital cleaning. J Hosp Infect 11 : 44–49.
  24. Sookpranee M, Lumbiganon P, Puapermpoonsiri S, Tattawasatra A, Nopwinyoovongs J, 1989. Contamination of Savlon solution with Pseudomonas pseudomallei at Srinagarind Hospital. Punyagupta S, Sirisanthana T, Stapatayavong B, eds. Melioidosis. Bangkok: Bangkok Medical Publisher, 211–213.

Data & Media loading...

  • Received : 15 Jan 2004
  • Accepted : 05 Apr 2004

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error