Tropical Doctor > Tropical Doctor Online First > 10.1258/td.2009.090093

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Short Report

The clinical profile and predictors of mortality in patients with melioidosis in South India

Anugrah Chrispal MD   ^*    Sudha Jasmine Rajan MD   ^*   Sowmya Sathyendra MD   

^* Department of Medicine Unit 2; Department of Medicine Unit 3, Christian Medical College, Vellore, India

Correspondence to: Dr Anugrah Chrispal, Assistant Professor, Department of Medicine Unit 2, Christian Medical College, Vellore 632004, India Email: anugrahchrispal{at}gmail.com

Melioidosis is an underdiagnosed and underreported disease in India with protean clinical manifestations. Mortality in this study population was 17%. The predominant risk factor for melioidosis was diabetes mellitus. Multifocal disease was present in 66% and pulmonary involvement in 61% of patients. In a country like India where the conditions are conducive for endemic melioidosis and due to the clinical similarity of melioidosis to diseases like tuberculosis, it is essential for clinicians to have a high degree of suspicion and pursue suitable diagnostic strategies for melioidosis in the appropriate clinical setting.

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