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. 2018 Jan;24(1):140-143.
doi: 10.3201/eid2401.161449.

Melioidosis, Singapore, 2003-2014

Long Pang, Patrick N A Harris, Rachel L Seiler, Peng Lim Ooi, Jeffrey Cutter, Kee Tai Goh, Alex R Cook, Dale Fisher, Louis Yi Ann Chai

Melioidosis, Singapore, 2003-2014

Long Pang et al. Emerg Infect Dis. 2018 Jan.

Abstract

In contrast with northern Australia and Thailand, in Singapore the incidence of melioidosis and co-incidence of melioidosis and pneumonia have declined. Burkholderia pseudomallei deep abscesses increased 20.4% during 2003-2014. These trends could not be explained by the environmental and climatic factors conventionally ascribed to melioidosis.

Keywords: Australia; Burkholderia pseudomallei; Singapore; Thailand; abscess; bacteria; diabetes; melioidosis; mortality; pneumonia.

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Figures

Figure 1
Figure 1
Annual incidence of melioidosis per 100,000 persons, Singapore, 2003–2014.
Figure 2
Figure 2
Melioidosis trends, Singapore, 2003–2014. A) Annual incidence of Burkholderia pseudomallei bacteremia and bacteremia-related deaths per 100 melioidosis cases. B) Annual incidence of melioidosis patients with pneumonia and pneumonia-related death per 100 melioidosis patients. C) Annual incidence of B. pseudomallei abscesses per 100 melioidosis patients. Local abscesses as per superficial or cutaneous, and deep abscess as per deep organ (primarily liver, spleen and prostate). D) Annual incidence of diabetes and diabetes-related death per 100 melioidosis patients.
See this image and copyright information in PMC

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