Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States

Nearly all cases of melioidosis in the continental United States are related to international travel to areas to which Burkholderia pseudomallei, the bacterium that causes melioidosis, is endemic. We report the diagnosis and clinical course of melioidosis in a patient from the United States who had...

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Autores principales: Patrick Dawson, Monique M. Duwell, Mindy G. Elrod, Ruth J. Thompson, David A. Crum, Ruth M. Jacobs, Jay E. Gee, Cari B. Kolton, Lindy Liu, David D. Blaney, LaToya Griffin Thomas, Denise Sockwell, Zachary Weiner, William A. Bower, Alex R. Hoffmaster, Johanna S. Salzer
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Publicado: Centers for Disease Control and Prevention 2021
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Acceso en línea:https://doaj.org/article/d7eea9b0c7f84661b89bf5565007f733
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spelling oai:doaj.org-article:d7eea9b0c7f84661b89bf5565007f7332021-11-22T12:56:51ZHuman Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States10.3201/eid2712.2117561080-60401080-6059https://doaj.org/article/d7eea9b0c7f84661b89bf5565007f7332021-12-01T00:00:00Zhttps://wwwnc.cdc.gov/eid/article/27/12/21-1756_articlehttps://doaj.org/toc/1080-6040https://doaj.org/toc/1080-6059 Nearly all cases of melioidosis in the continental United States are related to international travel to areas to which Burkholderia pseudomallei, the bacterium that causes melioidosis, is endemic. We report the diagnosis and clinical course of melioidosis in a patient from the United States who had no international travel history and the public health investigation to determine the source of exposure. We tested environmental samples collected from the patient’s home for B. pseudomallei by PCR and culture. Whole-genome sequencing was conducted on PCR-positive environmental samples, and results were compared with sequences from the patient’s clinical specimen. Three PCR-positive environmental samples, all collected from a freshwater home aquarium that had contained imported tropical fish, were a genetic match to the clinical isolate from the patient. This finding suggests a novel route of exposure and a potential for importation of B. pseudomallei, a select agent, into the United States from disease-endemic areas. Patrick DawsonMonique M. DuwellMindy G. ElrodRuth J. ThompsonDavid A. CrumRuth M. JacobsJay E. GeeCari B. KoltonLindy LiuDavid D. BlaneyLaToya Griffin ThomasDenise SockwellZachary WeinerWilliam A. BowerAlex R. HoffmasterJohanna S. SalzerCenters for Disease Control and PreventionarticlemelioidosisBurkholderia pseudomalleibacteriaOne Healthtransmissionfreshwater home aquariumMedicineRInfectious and parasitic diseasesRC109-216ENEmerging Infectious Diseases, Vol 27, Iss 12, Pp 3030-3035 (2021)
institution DOAJ
collection DOAJ
language EN
topic melioidosis
Burkholderia pseudomallei
bacteria
One Health
transmission
freshwater home aquarium
Medicine
R
Infectious and parasitic diseases
RC109-216
spellingShingle melioidosis
Burkholderia pseudomallei
bacteria
One Health
transmission
freshwater home aquarium
Medicine
R
Infectious and parasitic diseases
RC109-216
Patrick Dawson
Monique M. Duwell
Mindy G. Elrod
Ruth J. Thompson
David A. Crum
Ruth M. Jacobs
Jay E. Gee
Cari B. Kolton
Lindy Liu
David D. Blaney
LaToya Griffin Thomas
Denise Sockwell
Zachary Weiner
William A. Bower
Alex R. Hoffmaster
Johanna S. Salzer
Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States
description Nearly all cases of melioidosis in the continental United States are related to international travel to areas to which Burkholderia pseudomallei, the bacterium that causes melioidosis, is endemic. We report the diagnosis and clinical course of melioidosis in a patient from the United States who had no international travel history and the public health investigation to determine the source of exposure. We tested environmental samples collected from the patient’s home for B. pseudomallei by PCR and culture. Whole-genome sequencing was conducted on PCR-positive environmental samples, and results were compared with sequences from the patient’s clinical specimen. Three PCR-positive environmental samples, all collected from a freshwater home aquarium that had contained imported tropical fish, were a genetic match to the clinical isolate from the patient. This finding suggests a novel route of exposure and a potential for importation of B. pseudomallei, a select agent, into the United States from disease-endemic areas.
format article
author Patrick Dawson
Monique M. Duwell
Mindy G. Elrod
Ruth J. Thompson
David A. Crum
Ruth M. Jacobs
Jay E. Gee
Cari B. Kolton
Lindy Liu
David D. Blaney
LaToya Griffin Thomas
Denise Sockwell
Zachary Weiner
William A. Bower
Alex R. Hoffmaster
Johanna S. Salzer
author_facet Patrick Dawson
Monique M. Duwell
Mindy G. Elrod
Ruth J. Thompson
David A. Crum
Ruth M. Jacobs
Jay E. Gee
Cari B. Kolton
Lindy Liu
David D. Blaney
LaToya Griffin Thomas
Denise Sockwell
Zachary Weiner
William A. Bower
Alex R. Hoffmaster
Johanna S. Salzer
author_sort Patrick Dawson
title Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States
title_short Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States
title_full Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States
title_fullStr Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States
title_full_unstemmed Human Melioidosis Caused by Novel Transmission of Burkholderia pseudomallei from Freshwater Home Aquarium, United States
title_sort human melioidosis caused by novel transmission of burkholderia pseudomallei from freshwater home aquarium, united states
publisher Centers for Disease Control and Prevention
publishDate 2021
url https://doaj.org/article/d7eea9b0c7f84661b89bf5565007f733
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