Melioidosis Imported from West Africa to Europe

Juan Cuadros Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Horacio Gil Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Julio De Miguel Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Graciela Marabé Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Teresa Arroyo Peña Gómez-Herruz Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Bruno Lobo Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Ruth Marcos Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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Pedro Anda Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; Special Pathogens and Spirochetes Branch, National Center for Microbiology, Madrid, Spain; Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain; General Surgery, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

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We report the first case of imported melioidosis in Spain from a diabetic immigrant who visited West Africa during the rainy season. Because of the unusual presentation of this disease in Africa, clinical and microbiological diagnosis of imported melioidosis from this continent can be very elusive.

Author Notes

*Address correspondence to Juan Cuadros, Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, 28805, Spain. E-mail: jcuadros.hupa@salud.madrid.org

Authors' addresses: Juan Cuadros, Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: jcuadros.hupa@salud.madrid.org. Horacio Gil, Special Pathogens and Spirochetes Branch, Nacional Center for Microbiology, Majadahonda, Madrid, Spain, E-mail: hgil@isciii.es. Julio de Miguel, Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: juliodemiguel51@gmail.com. Graciela Marabé, Internal Medicine, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: grassiella@hotmail.com. Teresa Arroyo, Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: tarroyo26@hotmail.com. Peña Gómez-Herruz, Clinical Microbiology and Parasitology, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: pgherruz@gmail.com. Bruno Lobo, Special Pathogens and Spirochetes Branch, Nacional Center for Microbiology, Majadahonda, Madrid, Spain, E-mail: blobo@isciii.es. Ruth Marcos, General Surgery Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: rmarcosh@telefonica.net. Pedro Anda, Nacional Center for Microbiology, Majadahonda, Madrid, Spain, E-mail: panda@isciii.es.

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