Use of Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry Analysis for Rapid Confirmation of Burkholderia pseudomallei in Septicemic Melioidosis

Timothy J. J. Inglis School of Pathology and Laboratory Medicine, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Nedlands 6009, Western Australia, Australia; Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands 6009, Western Australia, Australia; Bruker Daltonics Division, Bruker Biosciences, Melbourne, Victoria, Australia

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Paul E. Healy School of Pathology and Laboratory Medicine, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Nedlands 6009, Western Australia, Australia; Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands 6009, Western Australia, Australia; Bruker Daltonics Division, Bruker Biosciences, Melbourne, Victoria, Australia

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Leith J. Fremlin School of Pathology and Laboratory Medicine, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Nedlands 6009, Western Australia, Australia; Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands 6009, Western Australia, Australia; Bruker Daltonics Division, Bruker Biosciences, Melbourne, Victoria, Australia

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Clayton L. Golledge School of Pathology and Laboratory Medicine, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Nedlands 6009, Western Australia, Australia; Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands 6009, Western Australia, Australia; Bruker Daltonics Division, Bruker Biosciences, Melbourne, Victoria, Australia

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Burkholderia pseudomallei was quickly identified from blood cultures collected from septicemic patients by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry analysis using an in-house reference library. This procedure reduced the time to definitive identification by more than 24 hours. This analysis is a useful addition to laboratory methods for early recognition of septicemic melioidosis in non-endemic settings.

Author Notes

*Address correspondence to Timothy J. J. Inglis, Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Locked Bag 2009, Nedlands 6009, Western Australia, Australia. E-mail: tim.inglis@health.wa.gov.au

Disclosure: Leith J. Fremlin is an employee of Bruker Biosciences, the manufacturers of the MALDI-TOF MS we used. His role in this work was to assist in the bioinformatic software analysis of MS results and reporting of that process as a scientist. This statement is made in the interest of full disclosure and not because the authors consider this to be a conflict of interest.

Authors' addresses: Timothy J. J. Inglis, School of Pathology and Laboratory Medicine, Faculty of Medicine, Dentistry, and Health Sciences, University of Western Australia, Nedlands 6009, Western Australia, Australia and Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands 6009, Western Australia, Australia, E-mail: tim.inglis@health.wa.gov.au. Paul E. Healy and Clayton L. Golledge, Division of Microbiology and Infectious Diseases, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands 6009, Western Australia, Australia, E-mails: paul.healy@health.wa.gov.au and clay.gollege@health.wa.gov.au. Leith J. Fremlin, Bruker Daltonics Division, Bruker Biosciences, Melbourne, Victoria, Australia, E-mail: leith.fremlin@bruker-daltonics.com.au.

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