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Relapse of chronic melioidosis in a paediatric cystic fibrosis patient: first case report from Malaysia

Overview of attention for article published in BMC Infectious Diseases, September 2018
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Title
Relapse of chronic melioidosis in a paediatric cystic fibrosis patient: first case report from Malaysia
Published in
BMC Infectious Diseases, September 2018
DOI 10.1186/s12879-018-3371-7
Pubmed ID
Authors

Vanitha Mariappan, Surendran Thavagnanam, Kumutha Malar Vellasamy, Cindy Ju Shuan Teh, Nadia Atiya, Sasheela Ponnampalavanar, Jamuna Vadivelu

Abstract

Burkholderia pseudomallei is the causative agent of melioidosis, which is a potentially life threatening disease endemic in Southeast Asian countries. In Malaysia, cystic fibrosis (CF) is an uncommon condition. The association between CF and B.pseudomallei infections has been reported previously. However, this is the first case report of a pediatric melioidosis relapse and co-infection with other Gram-negative bacteria in Malaysia. A 14-year-old Chinese Malaysian boy presented with a history of recurrent pneumonia, poor growth and steatorrhoea since childhood, and was diagnosed with CF. B. pseudomallei was cultured from his sputum during three different admissions between 2013 and 2016. However, the patient succumbed to end stage of respiratory failure in 2017 despite antibiotics treatment against B.pseudomallei. The isolates were compared using multilocus-sequence typing and repetitive-element polymerase chain reaction (PCR), and confirmed that two of the isolates were of same sequence type, which may indicate relapse. CF patients should be aware of melioidosis in endemic regions, as it is an emerging infectious disease, especially when persistent or recurrent respiratory symptoms and signs of infection occur. The high prevalence rates of melioidosis in Malaysia warrants better management options to improve quality of life, and life expectancy in patients with CF. Travel activities to endemic regions should also be given more consideration, as this would be crucial to identify and initiate appropriate empiric treatment.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 5 19%
Student > Bachelor 4 15%
Student > Master 3 12%
Student > Ph. D. Student 3 12%
Researcher 2 8%
Other 3 12%
Unknown 6 23%
Readers by discipline Count As %
Medicine and Dentistry 7 27%
Biochemistry, Genetics and Molecular Biology 3 12%
Environmental Science 1 4%
Linguistics 1 4%
Nursing and Health Professions 1 4%
Other 6 23%
Unknown 7 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 September 2018.
All research outputs
#11,963,977
of 13,494,757 outputs
Outputs from BMC Infectious Diseases
#4,286
of 5,029 outputs
Outputs of similar age
#228,172
of 264,756 outputs
Outputs of similar age from BMC Infectious Diseases
#1
of 1 outputs
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