Next Article in Journal
Improving Water, Sanitation and Hygiene Practices, and Housing Quality to Prevent Diarrhea among Under-Five Children in Nigeria
Next Article in Special Issue
Melioidosis in South Asia (India, Nepal, Pakistan, Bhutan and Afghanistan)
Previous Article in Journal / Special Issue
Melioidosis in Vietnam: Recently Improved Recognition but still an Uncertain Disease Burden after Almost a Century of Reporting
Article Menu

Export Article

Open AccessReview
Trop. Med. Infect. Dis. 2018, 3(2), 40; https://doi.org/10.3390/tropicalmed3020040

Melioidosis in Bangladesh: A Clinical and Epidemiological Analysis of Culture-Confirmed Cases

1
Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford OX3 7BN, UK
2
Mahidol Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok 10400, Thailand
3
Peter Medawar Building for Pathogen Research, University of Oxford, Oxford OX1 3SY, UK
4
Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000, Bangladesh
5
Department of Microbiology, Ibrahim Medical College, Dhaka 1000, Bangladesh
6
Department of Microbiology, BIRDEM General Hospital, Dhaka 1000, Bangladesh
7
Department of Medicine, Dhaka Medical College, Dhaka 1000, Bangladesh
8
Department of Critical Care Medicine, BIRDEM General Hospital, Dhaka 1000, Bangladesh
9
Dev Care Foundation, Dhaka 1205, Bangladesh
10
Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Vientiane 0100, Laos
11
Faculty of Tropical Medicine and Infectious Diseases, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
*
Author to whom correspondence should be addressed.
Received: 10 March 2018 / Revised: 28 March 2018 / Accepted: 4 April 2018 / Published: 9 April 2018
(This article belongs to the Special Issue Global Burden and Challenges of Melioidosis)
Full-Text   |   PDF [8626 KB, uploaded 3 May 2018]   |  

Abstract

Melioidosis is known to occur in Bangladesh, but there are few reports about the condition in the published international literature. We set out to review all known cases of melioidosis in the country to date, using both retrospective and prospective data. A web-based literature search was conducted to identify all published case reports, original articles and conference abstracts. Cases were also included from a prospective study conducted in 2017. Fifty-one cases were identified between 1961 and 2017. Cases have been reported from sixteen out of the 64 districts of Bangladesh. The median age of the patients at presentation was 45 years (IQR 37–52), with a significant male (77%) predominance. Many patients (14/39; 36%) were farmers and 83% had diabetes mellitus. A skin/soft tissue abscess was the most common primary clinical presentation (13/49; 27%), followed by septic arthritis (10/49; 20%), pneumonia, and a deep-seated abscess/organ abscess (7/49; 14%). The major challenges to the diagnosis and treatment of melioidosis in Bangladesh are the lack of resources and the lack of awareness of melioidosis. Capacity development programs are urgently required to define the burden of disease and to tackle the mortality rates. View Full-Text
Keywords: melioidosis; Burkholderia; Bangladesh melioidosis; Burkholderia; Bangladesh
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Chowdhury, F.R.; Jilani, M.S.A.; Barai, L.; Rahman, T.; Saha, M.R.; Amin, M.R.; Fatema, K.; Islam, K.M.S.; Faiz, M.A.; Dunachie, S.J.; Dance, D.A.B. Melioidosis in Bangladesh: A Clinical and Epidemiological Analysis of Culture-Confirmed Cases. Trop. Med. Infect. Dis. 2018, 3, 40.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Trop. Med. Infect. Dis. EISSN 2414-6366 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top