Case Investigation of Fatal Melioidosis Case After Flood Event in Ubon Ratchathani Province

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Worrayot Darasawang


Background: Disease Prevention and Control Unit at Department of Social Medicine, Buri Ram Hospital obtained the notification of fatal pneumonia patient. A case investigation was carried out on 10th October 2019 and aims to determine the causative organism and possible source of infection of the death for further prevention in risk group population.
Method: Case study design was conducted for case investigation. Dead patient medical record was reviewed to gain the following issues, clinical information, laboratory diagnosis, and travelling history before onset of clinical symptoms.
Results: The 34-year man visited a private hospital with fever, cough and dypnea. A physician diagnosed as bacterial infection combined with pulmonary tuberculosis. Diabetes mellitus was detected at the same time. Patient was transferred to the provincial hospital and hospitalized later on. During hospitalization, patient had sepsis with respiratory failure. Physicians provided respiratory support by endotracheal intubation. Shortly afterward, patient had cardiac arrestand died later on. The laboratory result of bacterial culture from patient’s sputum and blood specimen showed positive for Burkholderia pseudomallei. Patient went to Ubon Ratchathani province to rescue the victims during flood event before the onset of clinical symptoms.
Conclusion: Patient died due to Melioidosis which causes fever, cough, dyspnea, and further severe condition. Possible source of infection was contacting with soil and water during flood event in Ubon Ratchathani province.
Keywords: Meilioidosis, UbonRatchathani province, Pneumonia


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