CONTAMINATION OF HAND WASH DETERGENT LINKED TO OCCUPATIONALLY ACQUIRED MELIOIDOSIS

DANIEL GAL Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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MARK MAYO Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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HEIDI SMITH-VAUGHAN Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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PALLAVE DASARI Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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MELITA MCKINNON Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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SUSAN P. JACUPS Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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ANDREW I. URQUHART Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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MARILYN HASSELL Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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BART J. CURRIE Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia; Department of Health and Community Services, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Darwin, Northern Territory, Australia; Northern Territory Clinical School, Flinders University of South Australia, Darwin, Northern Territory, Australia

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Two mechanics working at a garage in tropical northern Australia simultaneously developed upper limb melioidosis ulcers. Both patients had Burkholderia pseudomallei of identical pulsed-field gel electrophoresis (PFGE) type (Spe I). Environmental sampling identified B. pseudomallei 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.

Author Notes

Reprint requests: Bart J. Currie, Menzies School of Health Research, Charles Darwin University, PO Box 41096, Casuarina, Northern Territory 0811, Australia.
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