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Melioidosis after Brief Exposure: A Serologic Survey in US Marines

Karl C. KronmannDivision of Infectious Disease, Naval Medical Center, San Diego, California; Navy Medicine Manpower, Personnel, Training, and Education Command, Bethesda, Maryland; Infectious Diseases Clinical Research Program, USUHS, Bethesda, Maryland

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April A. TruettDivision of Infectious Disease, Naval Medical Center, San Diego, California; Navy Medicine Manpower, Personnel, Training, and Education Command, Bethesda, Maryland; Infectious Diseases Clinical Research Program, USUHS, Bethesda, Maryland

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Braden R. HaleDivision of Infectious Disease, Naval Medical Center, San Diego, California; Navy Medicine Manpower, Personnel, Training, and Education Command, Bethesda, Maryland; Infectious Diseases Clinical Research Program, USUHS, Bethesda, Maryland

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Nancy F. Crum-CianfloneDivision of Infectious Disease, Naval Medical Center, San Diego, California; Navy Medicine Manpower, Personnel, Training, and Education Command, Bethesda, Maryland; Infectious Diseases Clinical Research Program, USUHS, Bethesda, Maryland

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Melioidosis is endemic to Southeast Asia. The incidence of infection in visitors is not well known, especially for short visits. Thirteen (38%) of 34 previously unexposed US Marines had positive serology after 2 weeks in Thailand, and one developed acute disseminated disease. Asymptomatic infection with Burkholderia pseudomallei may be common, even from brief exposures.

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