A Review of Melioidosis Cases in the Americas

Tina J. Benoit Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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David D. Blaney Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Thomas J. Doker Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Jay E. Gee Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Mindy G. Elrod Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Dionne B. Rolim Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Timothy J. J. Inglis Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Alex R. Hoffmaster Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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William A. Bower Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Henry T. Walke Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil; School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia

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Melioidosis is a bacterial infection caused by Burkholderia pseudomallei, a gram-negative saprophytic bacillus. Cases occur sporadically in the Americas with an increasing number of cases observed among people with no travel history to endemic countries. To better understand the incidence of the disease in the Americas, we reviewed the literature, including unpublished cases reported to the Centers for Disease Control and Prevention. Of 120 identified human cases, occurring between 1947 and June 2015, 95 cases (79%) were likely acquired in the Americas; the mortality rate was 39%. Burkholderia pseudomallei appears to be widespread in South, Central, and North America.

Author Notes

* Address correspondence to David D. Blaney, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329. E-mail: dblaney@cdc.gov

Authors' addresses: Tina J. Benoit, David D. Blaney, Jay E. Gee, Mindy G. Elrod, Alex R. Hoffmaster, William A. Bower, and Henry T. Walke, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: josanabenoit@hotmail.com, dblaney@cdc.gov, xzg4@cdc.gov, mglass@cdc.gov, ahoffmaster@cdc.gov, wbower@cdc.gov, and hwalke@cdc.gov. Thomas J. Doker, Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: thomas.doker@gmail.com. Dionne B. Rolim, Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil, E-mail: dionnerolim@gmail.com. Timothy J. J. Inglis, School of Pathology and Laboratory Medicine, University of Western Australia, Western Australia, Australia, E-mail: tim.inglis@uwa.edu.au.

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