Fatal Co-Infection–Melioidosis and Leptospirosis

How Soon Hin Department of Internal Medicine, International Islamic University Malaysia, Kuantan, Malaysia; Department of Medicine, Hospital Sultan Haji Ahmad Shah, Temerloh, Malaysia; Department of Community Health, International Islamic University Malaysia, Kuantan, Malaysia; Bacteriology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia; Pahang State Health Department, Kuantan, Malaysia

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Rajalingam Ramalingam Department of Internal Medicine, International Islamic University Malaysia, Kuantan, Malaysia; Department of Medicine, Hospital Sultan Haji Ahmad Shah, Temerloh, Malaysia; Department of Community Health, International Islamic University Malaysia, Kuantan, Malaysia; Bacteriology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia; Pahang State Health Department, Kuantan, Malaysia

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Kuan Yeh Chunn Department of Internal Medicine, International Islamic University Malaysia, Kuantan, Malaysia; Department of Medicine, Hospital Sultan Haji Ahmad Shah, Temerloh, Malaysia; Department of Community Health, International Islamic University Malaysia, Kuantan, Malaysia; Bacteriology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia; Pahang State Health Department, Kuantan, Malaysia

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Norazah Ahmad Department of Internal Medicine, International Islamic University Malaysia, Kuantan, Malaysia; Department of Medicine, Hospital Sultan Haji Ahmad Shah, Temerloh, Malaysia; Department of Community Health, International Islamic University Malaysia, Kuantan, Malaysia; Bacteriology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia; Pahang State Health Department, Kuantan, Malaysia

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Jamalludin Ab Rahman Department of Internal Medicine, International Islamic University Malaysia, Kuantan, Malaysia; Department of Medicine, Hospital Sultan Haji Ahmad Shah, Temerloh, Malaysia; Department of Community Health, International Islamic University Malaysia, Kuantan, Malaysia; Bacteriology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia; Pahang State Health Department, Kuantan, Malaysia

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Mohd Sapian Mohamed Department of Internal Medicine, International Islamic University Malaysia, Kuantan, Malaysia; Department of Medicine, Hospital Sultan Haji Ahmad Shah, Temerloh, Malaysia; Department of Community Health, International Islamic University Malaysia, Kuantan, Malaysia; Bacteriology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia; Pahang State Health Department, Kuantan, Malaysia

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Co-infection of melioidosis and leptospirosis is uncommon. We report here four such cases, confirmed by blood culture for melioidosis and blood polymerase-chain reaction for leptospirosis, which occurred among rescuers involved in a search and rescue operation for a young man who was suspected to have drowned in Lubuk Yu, a recreational forest in Pahang, Malaysia. Despite treatment, three of the patients died from the co-infection.

Author Notes

*Address correspondence to Kuan Yeh Chunn, Kulliyyah of Medicine, International Islamic University Malaysia, PO Box 141, 25710 Kuantan, Malaysia. E-mail: kychunn@yahoo.com

Authors' addresses: How Soon Hin and Kuan Yeh Chunn, Department of Internal Medicine, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia, E-mails: how_sh@yahoo.com and kychunn@yahoo.com. Rajalingam Ramalingam, Hospital Sultan Haji Ahmad Shah, Jalan Maran, Temerloh, Pahang, Malaysia, E-mail: raj.blueheart@gmail.com. Norazah Ahmad, Institute for Medical Research, Kuantan, Pahang, Malaysia, E-mail: norazah@imr.gov.my. Jamalludin Ab Rahman, Department of Community Health, Kulliyyah of Medicine, International Islamic University Malaysia, Pahang, Malaysia, E-mail: arjamal@iium.edu.my. Mohd Sapian Mohamed, Pahang State Health Department, Kuantan, Pahang, Malaysia, E-mail: drhjsapian26@phg.moh.gov.my.

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