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Burkholderia pseudomallei Infection in a Child With Cystic FibrosisBurkholderia pseudomallei in Cystic Fibrosis: Acquisition in the Western Hemisphere

Brian P. O’Sullivan, MD; Brenda Torres, BS; Giuseppe Conidi, MPH; Sandra Smole, PhD; Cheryl Gauthier, MA; Kendra E. Stauffer, DVM; Mindy B. Glass, BS; Jay E. Gee, PhD; David Blaney, MD, MPH; Theresa L. Smith, MD, MPH
Author and Funding Information

From the Department of Pediatrics (Dr O’Sullivan), University of Massachusetts Medical School and UMass Memorial Health Care; and the Department of Laboratory Sciences (Ms Torres), UMass Memorial Health Care, Worcester, MA; the Division of Epidemiology and Immunization, Bureau of Infectious Diseases (Mr Conidi), and the Bureau of Laboratory Sciences, William A. Hinton State Laboratory Institute (Dr Smole and Ms Gauthier), Massachusetts Department of Public Health, Jamaica Plain, MA; the US Department of Agriculture, Animal Plant Health Inspection Service/Veterinary Service (Dr Stauffer), Gainesville, FL; and the Bacterial Special Pathogens Branch (Ms Glass and Drs Gee, Blaney, and Smith), Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA.Some of the authors are employees of the US Government, and this work was prepared as part of their official duties.

Correspondence to: Brian P. O’Sullivan, MD, Department of Pediatrics, UMass Memorial Health Care, 55 Lake Ave, Worcester, MA 01655; e-mail: osullivb@ummhc.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(1):239-242. doi:10.1378/chest.10-3336
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Melioidosis, an infection caused by the bacterium Burkholderia pseudomallei, is endemic to Southeast Asia and northern Australia but is only very rarely seen in patients in the United States. We report pulmonary B pseudomallei infection in a young girl with cystic fibrosis (CF) who had never traveled to Asia or Australia. Biochemical and epidemiologic investigation determined Aruba as the likely site of disease acquisition. This report highlights the ability of patients with CF to acquire this organism outside of Southeast Asia and describes an aggressive treatment regimen that has kept this patient culture-negative for the organism over a long period of time.

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