Predictors of Severe Disease in Melioidosis Patients in Kuala Lumpur, Malaysia

Ardita Dewi Roslani Mohd Roslani Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia

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Sun Tee Tay Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia

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Savithri D. Puthucheary Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia

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Devi V. Rukumani Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia

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I-Ching Sam Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia

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The predictors of severe disease or death were determined for 85 melioidosis patients in Kuala Lumpur, Malaysia. Most of the patients were male, > 40 years old, and diabetic. Severe disease or death occurred in 28 (32.9%) cases. Lower lymphocyte counts and positive blood cultures were significant independent predictors of severe disease, but age, presentations with pneumonia, inappropriate empirical antibiotics, or flagellin types of the infecting isolates were not. Knowledge of local predictors of severe disease is useful for clinical management.

Author Notes

* Address correspondence to I-Ching Sam, Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia. E-mail: jicsam@ummc.edu.my

Financial support: The study was funded by PPP Grant P0042/2009B and High-Impact Research Grant E000013-20001 from University Malaya.

Authors' addresses: Ardita Dewi Roslani Mohd Roslani, Sun Tee Tay, Devi V. Rukumani, and I-Ching Sam, Department of Medical Microbiology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia, E-mails: ardita@ummc.edu.my, tayst@um.edu.my, rukumani@ummc.edu.my, and jicsam@ummc.edu.my. Savithri D. Puthucheary, Medical Education, Research and Evaluation Department, Duke-National University of Singapore Graduate Medical School, Singapore, E-mail: savithiri.puthucheary@duke-nus.edu.sg.

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