{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:20:39Z","timestamp":1783012839325,"version":"3.54.6"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Clin Microbiol Infect Dis"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1007\/s10096-026-05500-w","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T20:58:21Z","timestamp":1775077101000},"page":"2179-2184","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Disseminated melioidosis due to ceftazidime-resistant Burkholderia pseudomallei in a Spanish traveler"],"prefix":"10.1007","volume":"45","author":[{"given":"Gonzalo","family":"Sierra-Torres","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Germ\u00e1n","family":"Ram\u00edrez-Olivencia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar Merino","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Octavio Arce","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel Fern\u00e1ndez","family":"Tom\u00e1s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Collazos-Blanco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. M. Hern\u00e1ndez","family":"Heredia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Sim\u00f3n","family":"Sacrist\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"issue":"3","key":"5500_CR1","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1038\/s41579-023-00972-5","volume":"22","author":"EM Meumann","year":"2024","unstructured":"Meumann EM, Limmathurotsakul D, Dunachie SJ, Wiersinga WJ, Currie BJ (2024) Burkholderia pseudomallei and melioidosis. Nat Rev Microbiol 22(3):155\u2013169","journal-title":"Nat Rev Microbiol"},{"issue":"3","key":"5500_CR2","doi-asserted-by":"publisher","first-page":"taad039","DOI":"10.1093\/jtm\/taad039","volume":"30","author":"FF Norman","year":"2023","unstructured":"Norman FF, Chen LH (2023) Travel-associated melioidosis: a narrative review. J Travel Med 30(3):taad039","journal-title":"J Travel Med"},{"issue":"6","key":"5500_CR3","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1111\/jtm.12236","volume":"22","author":"M Dan","year":"2015","unstructured":"Dan M (2015) Melioidosis in travelers: review of the literature. J Travel Med 22(6):410\u2013414","journal-title":"J Travel Med"},{"key":"5500_CR4","doi-asserted-by":"publisher","first-page":"100051","DOI":"10.1016\/j.clinpr.2020.100051","volume":"10","author":"C O\u2019Connor","year":"2020","unstructured":"O\u2019Connor C, Kenna D, Walsh A, Zamarre\u00f1o DV, Dance D (2020) Imported melioidosis in the United Kingdom: increasing incidence but continued under-reporting. Clin Infect Pract 10:100051","journal-title":"Clin Infect Pract"},{"issue":"8","key":"5500_CR5","doi-asserted-by":"publisher","first-page":"1395","DOI":"10.1007\/s10096-019-03548-5","volume":"38","author":"S Le Tohic","year":"2019","unstructured":"Le Tohic S, Montana M, Koch L, Curti C, Vanelle P (2019) A review of melioidosis cases imported into Europe. Eur J Clin Microbiol Infect Dis 38(8):1395\u20131408","journal-title":"Eur J Clin Microbiol Infect Dis"},{"issue":"1","key":"5500_CR6","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3390\/ijerph23010036","volume":"23","author":"J Thanasai","year":"2025","unstructured":"Thanasai J, Phongphithakchai A, Chatatikun M, Laklaeng SN, Tangpong J, Wongyikul P et al (2025) Travel-Associated Melioidosis in Non-Endemic Regions: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 23(1):36","journal-title":"Int J Environ Res Public Health"},{"issue":"5","key":"5500_CR7","first-page":"e02230","volume":"95","author":"SHY Fen","year":"2023","unstructured":"Fen SHY, Tandhavanant S, Phunpang R, Ekchariyawat P, Saiprom N, Chewapreecha C et al (2023) Antibiotic susceptibility of clinical Burkholderia pseudomallei isolates in northeast Thailand during 2015\u20132018 and the genomic characterization of \u03b2-lactam-resistant isolates. Antimicrob Agents Chemother 95(5):e02230\u2013e02220","journal-title":"Antimicrob Agents Chemother"},{"issue":"11","key":"5500_CR8","doi-asserted-by":"publisher","first-page":"5388","DOI":"10.1128\/AAC.05517-11","volume":"55","author":"V Wuthiekanun","year":"2011","unstructured":"Wuthiekanun V, Amornchai P, Saiprom N, Chantratita N, Chierakul W, Koh GC et al (2011) Survey of antimicrobial resistance in clinical Burkholderia pseudomallei isolates over two decades in Northeast Thailand. Antimicrob Agents Chemother 55(11):5388\u20135391","journal-title":"Antimicrob Agents Chemother"},{"issue":"2","key":"5500_CR9","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.ijantimicag.2014.04.012","volume":"44","author":"A Crowe","year":"2014","unstructured":"Crowe A, McMahon N, Currie BJ, Baird RW (2014) Current antimicrobial susceptibility of first-episode melioidosis Burkholderia pseudomallei isolates from the Northern Territory, Australia. Int J Antimicrob Agents 44(2):160\u2013162","journal-title":"Int J Antimicrob Agents"},{"issue":"7","key":"5500_CR10","doi-asserted-by":"publisher","first-page":"647","DOI":"10.3390\/antibiotics14070647","volume":"14","author":"J Thanasai","year":"2025","unstructured":"Thanasai J, Laklaeng SN, Khemla S et al (2025) Global Prevalence of Antibiotic-Resistant Burkholderia pseudomallei in Melioidosis Patients: A Systematic Review and Meta-Analysis. Antibiot (Basel) 14(7):647","journal-title":"Antibiot (Basel)"},{"issue":"6","key":"5500_CR11","doi-asserted-by":"publisher","first-page":"e0011382","DOI":"10.1371\/journal.pntd.0011382","volume":"17","author":"T Anothaisintawee","year":"2023","unstructured":"Anothaisintawee T, Harncharoenkul K, Poramathikul K, Phontham K, Boonyarangka P, Kuntawunginn W et al (2023) Efficacy of drug treatment for severe melioidosis and eradication treatment of melioidosis: A systematic review and network meta-analysis. PLoS Negl Trop Dis 17(6):e0011382","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"5500_CR12","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1186\/s12941-023-00620-z","volume":"22","author":"KARK Keragala","year":"2023","unstructured":"Keragala KARK, Gunathilaka MGRSS, Senevirathna RMISK, Jayaweera JAAS (2023) Efficacy and safety of co-trimoxazole in eradication phase of melioidosis; systematic review. Ann Clin Microbiol Antimicrob 22(1):74","journal-title":"Ann Clin Microbiol Antimicrob"},{"key":"5500_CR13","unstructured":"Delgado-Iribarren A, Fern\u00e1ndez Rodr\u00edguez A, Jado Garc\u00eda I, Ybarra de Villavicencio C (2020) El laboratorio de Microbiolog\u00eda en respuesta al bioterrorismo. Procedimiento 67. En: Fern\u00e1ndez Rodr\u00edguez A, coord. Procedimientos en Microbiolog\u00eda Cl\u00ednica. Cercenado Mansilla E, Cant\u00f3n Moreno R, eds. SEIMC"},{"key":"5500_CR14","unstructured":"Centers for Disease Control and Prevention (2024) HHS and USDA select agents and toxins. Federal Select Agent Program. https:\/\/www.selectagents.gov\/sat\/list.htm. Accessed 17 December 2025"},{"key":"5500_CR15","unstructured":"European Committee on Antimicrobial Susceptibility Testing (2025) Breakpoint tables for interpretation of MICs and zone diameters. Version 15.0. EUCAST. https:\/\/www.eucast.org\/clinical_breakpoints\/. Accessed 17 December 2025"},{"key":"5500_CR16","doi-asserted-by":"crossref","unstructured":"Birnie E, Savelkoel J, Reubsaet F, Roelofs JJTH, Soetekouw R, Kolkman S et al (2019) Melioidosis in travelers: An analysis of Dutch melioidosis registry data 1985\u20132018. Travel Med Infect Dis 32:101461","DOI":"10.1016\/j.tmaid.2019.07.017"},{"key":"5500_CR17","doi-asserted-by":"crossref","unstructured":"Sa\u00efdani N, Griffiths K, Million M, Gautret P, Dubourg G, Parola P, Brouqui P, Lagier JC (2015) Melioidosis as a travel-associated infection: Case report and review of the literature. Travel Med Infect Dis 13(5):367\u2013381","DOI":"10.1016\/j.tmaid.2015.08.007"},{"issue":"2","key":"5500_CR18","doi-asserted-by":"publisher","first-page":"282","DOI":"10.4269\/ajtmh.2011.11-0207","volume":"85","author":"J Cuadros","year":"2011","unstructured":"Cuadros J, Gil H, Miguel JD, Marab\u00e9 G, G\u00f3mez-Herruz TA, Lobo B, Marcos R, Anda P (2011) Case report: melioidosis imported from West Africa to Europe. Am J Trop Med Hyg 85(2):282\u2013284","journal-title":"Am J Trop Med Hyg"},{"issue":"10","key":"5500_CR19","doi-asserted-by":"publisher","first-page":"1656","DOI":"10.3201\/eid1910.121785","volume":"19","author":"MI Morosini","year":"2013","unstructured":"Morosini MI, Quereda C, Gil H, Anda P, N\u00fa\u00f1ez-Murga M, Cant\u00f3n R, L\u00f3pez-V\u00e9lez R (2013) Melioidosis in traveler from Africa to Spain. Emerg Infect Dis 19(10):1656\u20131659","journal-title":"Emerg Infect Dis"},{"issue":"2","key":"5500_CR20","doi-asserted-by":"publisher","first-page":"taad005","DOI":"10.1093\/jtm\/taad005","volume":"30","author":"P Igea","year":"2023","unstructured":"Igea P, Quereda C, Gomez G, de la Pedrosa E, Monta\u00f1o L, Tato M, Norman FF (2023) Melioidosis in a traveller from Africa. J Travel Med 30(2):taad005","journal-title":"J Travel Med"},{"issue":"3","key":"5500_CR21","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1016\/j.eimc.2014.06.003","volume":"33","author":"L Guzm\u00e1n-G\u00f3mez","year":"2015","unstructured":"Guzm\u00e1n-G\u00f3mez L, Agudo Bilbao M, Peiro-Callizo E, Salas C (2015) Melioidosis importada desde Colombia a Espa\u00f1a [Melioidosis imported from Colombia to Spain]. Enferm Infecc Microbiol Clin 33(3):214\u2013216 Spanish","journal-title":"Enferm Infecc Microbiol Clin"},{"issue":"2","key":"5500_CR22","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1093\/ije\/dyi271","volume":"35","author":"AC Cheng","year":"2006","unstructured":"Cheng AC, Jacups SP, Gal D, Mayo M, Currie BJ (2006) Extreme weather events and environmental contamination are associated with case-clusters of melioidosis in the Northern Territory of Australia. Int J Epidemiol 35(2):323\u2013329","journal-title":"Int J Epidemiol"},{"issue":"2","key":"5500_CR23","doi-asserted-by":"publisher","first-page":"265","DOI":"10.3201\/eid2002.121891","volume":"20","author":"D Limmathurotsakul","year":"2014","unstructured":"Limmathurotsakul D, Wongsuvan G, Aanensen D, Ngamwilai S, Saiprom N, Rongkard P, Thaipadungpanit J, Kanoksil M, Chantratita N, Day NP, Peacock SJ (2014) Melioidosis caused by Burkholderia pseudomallei in drinking water, Thailand, 2012. Emerg Infect Dis 20(2):265\u2013268","journal-title":"Emerg Infect Dis"},{"issue":"1","key":"5500_CR24","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1055\/s-0034-1398389","volume":"36","author":"BJ Currie","year":"2015","unstructured":"Currie BJ (2015) Melioidosis: evolving concepts in epidemiology, pathogenesis, and treatment. Semin Respir Crit Care Med 36(1):111\u2013125","journal-title":"Semin Respir Crit Care Med"},{"issue":"2","key":"5500_CR25","doi-asserted-by":"publisher","first-page":"e2072","DOI":"10.1371\/journal.pntd.0002072","volume":"7","author":"D Limmathurotsakul","year":"2013","unstructured":"Limmathurotsakul D, Kanoksil M, Wuthiekanun V, Kitphati R, deStavola B, Day NP, Peacock SJ (2013) Activities of daily living associated with acquisition of melioidosis in northeast Thailand: a matched case-control study. PLoS Negl Trop Dis 7(2):e2072","journal-title":"PLoS Negl Trop Dis"},{"issue":"12","key":"5500_CR26","doi-asserted-by":"publisher","first-page":"1737","DOI":"10.1016\/S1473-3099(21)00022-0","volume":"21","author":"BJ Currie","year":"2021","unstructured":"Currie BJ, Mayo M, Ward LM, Kaestli M, Meumann EM, Webb JR et al (2021) The Darwin Prospective Melioidosis Study: a 30-year prospective, observational investigation. Lancet Infect Dis 21(12):1737\u20131746","journal-title":"Lancet Infect Dis"},{"issue":"2","key":"5500_CR27","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1086\/520223","volume":"29","author":"Y Suputtamongkol","year":"1999","unstructured":"Suputtamongkol Y et al (1999) Risk factors for melioidosis and bacteremic melioidosis. Clin Infect Dis 29(2):408\u2013413","journal-title":"Clin Infect Dis"},{"issue":"3","key":"5500_CR28","first-page":"69","volume":"10","author":"J Bramwell","year":"2025","unstructured":"Bramwell J, Kovaleva N, Morigi JJ, Currie BJ (2025) 18-Fluorine-Fluorodeoxyglucose Positron Emission Computer Tomography Imaging in Melioidosis: Valuable but Not Essential. Trop Med Infect Dis 10(3):69","journal-title":"Trop Med Infect Dis"},{"key":"5500_CR29","doi-asserted-by":"crossref","unstructured":"Ayub II, Thangaswamy D, Krishna V, Sridharan KS (2021) Role for positron emission tomography-computed tomography in melioidosis. Indian J Nucl Med 36(3):354\u2013356","DOI":"10.4103\/ijnm.ijnm_227_20"},{"issue":"9","key":"5500_CR30","doi-asserted-by":"publisher","first-page":"002074","DOI":"10.1099\/jmm.0.002074","volume":"74","author":"I Gassiep","year":"2025","unstructured":"Gassiep I, Glover M, Beecham M, Gorman B, Page M, Stewart J, Harris PNA (2025) Evaluation of an automated molecular diagnostic instrument for direct detection of Burkholderia pseudomallei from clinical specimens. J Med Microbiol 74(9):002074","journal-title":"J Med Microbiol"},{"key":"5500_CR31","doi-asserted-by":"crossref","unstructured":"Nithimongkolchai N, Hinwan Y, Trisakul K, Wonglakorn L, Chetchotisakd P, Sirichoat A et al (2025) Rapid detection of antibiotic resistance in Burkholderia pseudomallei using MALDI-TOF mass spectrometry. Sci Rep. July 1;15(1):21867","DOI":"10.1038\/s41598-025-07687-y"},{"key":"5500_CR32","doi-asserted-by":"crossref","unstructured":"Suchartlikitwong P, Saninjuk K, Tirapattanun A, Kongsai J, Benjatikun W, Wongsurawat T et al (2025) Emergence of ceftazidime resistance in Burkholderia pseudomallei during therapy: Clinical, phenotypic and genotypic insights from paired isolates. J Glob Antimicrob Resist 43:319\u2013326","DOI":"10.1016\/j.jgar.2025.05.006"},{"key":"5500_CR33","doi-asserted-by":"crossref","unstructured":"Hui H, Sheng Y, Han X, Wang S, Zhang G, Wei X (2022) A clinical study on clinical features,manifestations and drug resistance of melioidosis. Pak J Med Sci 38(8):2301\u20132306","DOI":"10.12669\/pjms.38.8.5506"},{"issue":"12","key":"5500_CR34","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.2217\/fmb.12.116","volume":"7","author":"HP Schweizer","year":"2012","unstructured":"Schweizer HP (2012) Mechanisms of antibiotic resistance in Burkholderia pseudomallei: implications for treatment of melioidosis. Future Microbiol 7(12):1389\u20131399","journal-title":"Future Microbiol"},{"issue":"2","key":"5500_CR35","doi-asserted-by":"publisher","first-page":"e30789","DOI":"10.1371\/journal.pone.0030789","volume":"7","author":"DS Sarovich","year":"2012","unstructured":"Sarovich DS, Price EP, Von Schulze AT, Cook JM, Mayo M, Watson LM et al (2012) Characterization of ceftazidime resistance mechanisms in clinical isolates of Burkholderia pseudomallei from Australia. PLoS ONE 7(2):e30789","journal-title":"PLoS ONE"},{"issue":"1","key":"5500_CR36","doi-asserted-by":"publisher","first-page":"10652","DOI":"10.1038\/s41598-018-28843-7","volume":"8","author":"S Chirakul","year":"2018","unstructured":"Chirakul S, Norris MH, Pagdepanichkit S, Somprasong N, Randall LB, Shirley JF et al (2018) Transcriptional and post-transcriptional regulation of PenA \u03b2-lactamase in acquired Burkholderia pseudomallei \u03b2-lactam resistance. Sci Rep 8(1):10652","journal-title":"Sci Rep"},{"issue":"5","key":"5500_CR37","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1016\/j.cmi.2020.07.001","volume":"27","author":"O Karatuna","year":"2021","unstructured":"Karatuna O, Dance DAB, Matuschek E, \u00c5hman J, Turner P, Hopkins J et al (2021) Burkholderia pseudomallei multi-centre study to establish EUCAST MIC and zone diameter distributions and epidemiological cut-off values. Clin Microbiol Infect 27(5):736\u2013741","journal-title":"Clin Microbiol Infect"},{"issue":"6","key":"5500_CR38","doi-asserted-by":"publisher","first-page":"e0188622","DOI":"10.1128\/jcm.01886-22","volume":"61","author":"RM Humphries","year":"2023","unstructured":"Humphries RM, Miller L, Zimmer B, Matuschek E, Hindler JA (2023) Contemporary Considerations for Establishing Reference Methods for Antibacterial Susceptibility Testing. J Clin Microbiol 61(6):e0188622","journal-title":"J Clin Microbiol"},{"issue":"9919","key":"5500_CR39","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/S0140-6736(13)61951-0","volume":"383","author":"P Chetchotisakd","year":"2014","unstructured":"Chetchotisakd P, Chierakul W, Chaowagul W, Anunnatsiri S, Phimda K, Mootsikapun P et al (2014) Trimethoprim-sulfamethoxazole versus trimethoprim-sulfamethoxazole plus doxycycline as oral eradicative treatment for melioidosis (MERTH): a multicentre, double-blind, non-inferiority, randomised controlled trial. Lancet 383(9919):807\u2013814","journal-title":"Lancet"}],"container-title":["European Journal of Clinical Microbiology &amp; Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10096-026-05500-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10096-026-05500-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10096-026-05500-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:42:37Z","timestamp":1783010557000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10096-026-05500-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":39,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["5500"],"URL":"https:\/\/doi.org\/10.1007\/s10096-026-05500-w","relation":{},"ISSN":["0934-9723","1435-4373"],"issn-type":[{"value":"0934-9723","type":"print"},{"value":"1435-4373","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,1]]},"assertion":[{"value":"18 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient consent"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}