{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:12:23Z","timestamp":1791569543616,"version":"4.3.4"},"reference-count":24,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Lancet Global Health"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.langlo.2026.104072","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:53:07Z","timestamp":1791402787000},"page":"104072","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospital-based prevalence of culture-confirmed melioidosis among high-risk patients in India, 2023\u201325: a multicentre prospective study"],"prefix":"10.1016","author":[{"given":"Nitin","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Ashiq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5926-5885","authenticated-orcid":false,"given":"Tirlangi Praveen","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6926-553X","authenticated-orcid":false,"given":"Venkat Abhiram","family":"Earny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K E","family":"Vandana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5546-5353","authenticated-orcid":false,"given":"Muralidhar","family":"Varma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0651-2739","authenticated-orcid":false,"given":"Saurav Jyoti","family":"Patgiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayush","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijayini","family":"Behera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chimanjita","family":"Phukan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarissa J","family":"Lyngdoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Lalrempuii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luna","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta","family":"Devi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Yhome","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9198-6965","authenticated-orcid":false,"given":"Mika","family":"Umpo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradip Kumar","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rushika","family":"Saksena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1346-7481","authenticated-orcid":false,"given":"Vibhor","family":"Tak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harpreet","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0402-1143","authenticated-orcid":false,"given":"Chiranjay","family":"Mukhopadhyay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Abhishek Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adhikari","family":"Luna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Atique","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baby","family":"Poornima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baruah Pranjal","family":"Jyoti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behera","family":"Bijayini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohra Gopal","family":"Krishna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brojen Singh","family":"Takhellambam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chakraborty","family":"Avik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrashekar","family":"Janakiram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deori","family":"Mondip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devnani","family":"Mahesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhakal","family":"Mona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T S","family":"Dipu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M V","family":"Divya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Das Pradip","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debnath","family":"Rajib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Deepan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gogoi","family":"Dimpu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Golmei","family":"Namganglung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gupta","family":"Ayush","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gupta","family":"Nitin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haorongbam","family":"Sunanda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadanga","family":"Sagar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khurana","family":"Alkesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumar","family":"Rohit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukhopadhyay","family":"Chiranjay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patgiri Saurav","family":"Jyoti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phukan","family":"Chimanjita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Rehan-Ul-Haq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghav Pankaja","family":"Ravi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghab Mohapatra","family":"Prasanta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saha","family":"Anup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saikia","family":"Anukalpa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saksena","family":"Rushika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharma","family":"Tara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Singh Varun","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tak","family":"Vibhor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tashok","family":"Sorang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tato","family":"Gimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tirlangi Praveen","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umpo","family":"Mika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Moirangthem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.langlo.2026.104072_bib1","doi-asserted-by":"crossref","first-page":"5115","DOI":"10.2147\/IDR.S535624","article-title":"Burkholderia pseudomallei: a multifaceted threat and the path forward in treatment and prevention","volume":"18","author":"Ibrahem","year":"2025","journal-title":"Infect Drug Resist"},{"key":"10.1016\/j.langlo.2026.104072_bib2","doi-asserted-by":"crossref","DOI":"10.1038\/nmicrobiol.2015.8","article-title":"Predicted global distribution of Burkholderia pseudomallei and burden of melioidosis","volume":"1","author":"Limmathurotsakul","year":"2016","journal-title":"Nat Microbiol"},{"key":"10.1016\/j.langlo.2026.104072_bib3","article-title":"Melioidosis in India: a systematic review of individual cases","volume":"18","author":"Gupta","year":"2026","journal-title":"IJID Reg"},{"key":"10.1016\/j.langlo.2026.104072_bib4","doi-asserted-by":"crossref","first-page":"379","DOI":"10.3390\/pathogens14040379","article-title":"Two decades of melioidosis in India: a comprehensive epidemiological review","volume":"14","author":"Kannan","year":"2025","journal-title":"Pathogens"},{"key":"10.1016\/j.langlo.2026.104072_bib5","article-title":"Abscesses due to melioidosis: a case-based review","volume":"8","author":"Gupta","year":"2024","journal-title":"Curr Res Microb Sci"},{"key":"10.1016\/j.langlo.2026.104072_bib6","doi-asserted-by":"crossref","first-page":"e45","DOI":"10.1164\/rccm.201908-1581ST","article-title":"Diagnosis and treatment of adults with community-acquired pneumonia: an official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America","volume":"200","author":"Metlay","year":"2019","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.langlo.2026.104072_bib7","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1001\/jama.2016.0287","article-title":"The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)","volume":"315","author":"Singer","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.langlo.2026.104072_bib8","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1111\/tmi.12894","article-title":"Improved detection of Burkholderia pseudomallei from non-blood clinical specimens using enrichment culture and PCR: narrowing diagnostic gap in resource-constrained settings","volume":"22","author":"Tellapragada","year":"2017","journal-title":"Trop Med Int Health"},{"key":"10.1016\/j.langlo.2026.104072_bib9","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1016\/S1473-3099(21)00022-0","article-title":"The Darwin Prospective Melioidosis Study: a 30-year prospective, observational investigation","volume":"21","author":"Currie","year":"2021","journal-title":"Lancet Infect Dis"},{"key":"10.1016\/j.langlo.2026.104072_bib10","article-title":"Characteristics and one-year outcomes of melioidosis patients in northeastern Thailand: a prospective, multicentre cohort study","volume":"9","author":"Chantratita","year":"2023","journal-title":"Lancet Reg Health Southeast Asia"},{"key":"10.1016\/j.langlo.2026.104072_bib11","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1093\/trstmh\/trae097","article-title":"Tunnel sign in patients with melioidosis: a case series from South India","volume":"119","author":"Gupta","year":"2025","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"10.1016\/j.langlo.2026.104072_bib12","doi-asserted-by":"crossref","DOI":"10.1016\/j.nmni.2025.101639","article-title":"Tunnel sign on magnetic resonance imaging in neuromelioidosis: a systematic literature review","volume":"68","author":"Gupta","year":"2025","journal-title":"New Microbes New Infect"},{"key":"10.1016\/j.langlo.2026.104072_bib13","doi-asserted-by":"crossref","first-page":"2659","DOI":"10.1007\/s15010-025-02611-y","article-title":"Clinical scoring system to differentiate melioidosis from other documented causes of community-acquired bacterial pneumonia: a retrospective cohort study","volume":"53","author":"Gupta","year":"2025","journal-title":"Infection"},{"key":"10.1016\/j.langlo.2026.104072_bib14","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0012684","article-title":"Identification of environmental determinants involved in the distribution of Burkholderia pseudomallei in Southeast Asia using MaxEnt software","volume":"19","author":"Abrantes","year":"2025","journal-title":"PLoS Negl Trop Dis"},{"key":"10.1016\/j.langlo.2026.104072_bib15","doi-asserted-by":"crossref","DOI":"10.3389\/fmicb.2022.902996","article-title":"Environmental factors associated with soil prevalence of the melioidosis pathogen Burkholderia pseudomallei: a longitudinal seasonal study from southwest India","volume":"13","author":"Shaw","year":"2022","journal-title":"Front Microbiol"},{"key":"10.1016\/j.langlo.2026.104072_bib16","doi-asserted-by":"crossref","first-page":"e329","DOI":"10.1016\/S2542-5196(18)30165-7","article-title":"Earth, wind, rain, and melioidosis","volume":"2","author":"Chai","year":"2018","journal-title":"Lancet Planet Health"},{"key":"10.1016\/j.langlo.2026.104072_bib17","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s40121-023-00768-3","article-title":"Risk factors for melioidosis mortality and epidemics: a multicentre, 10-year retrospective cohort study in northern Hainan","volume":"12","author":"Zheng","year":"2023","journal-title":"Infect Dis Ther"},{"key":"10.1016\/j.langlo.2026.104072_bib18","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1093\/cid\/ciaf201","article-title":"A 37-year-old man with fever and neck swelling","volume":"81","author":"Gupta","year":"2025","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.langlo.2026.104072_bib19","doi-asserted-by":"crossref","first-page":"265","DOI":"10.3201\/eid2002.121891","article-title":"Melioidosis caused by Burkholderia pseudomallei in drinking water, Thailand, 2012","volume":"20","author":"Limmathurotsakul","year":"2014","journal-title":"Emerg Infect Dis"},{"key":"10.1016\/j.langlo.2026.104072_bib20","doi-asserted-by":"crossref","first-page":"125","DOI":"10.3390\/microorganisms7050125","article-title":"Impact of binge alcohol intoxication on the humoral immune response during Burkholderia spp. infections","volume":"7","author":"Moreno","year":"2019","journal-title":"Microorganisms"},{"key":"10.1016\/j.langlo.2026.104072_bib21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0000900","article-title":"The epidemiology and clinical spectrum of melioidosis: 540 cases from the 20 year Darwin prospective study","volume":"4","author":"Currie","year":"2010","journal-title":"PLoS Negl Trop Dis"},{"key":"10.1016\/j.langlo.2026.104072_bib22","first-page":"1360","article-title":"C-reactive protein for early diagnosis and severity monitoring in melioidosis: a systematic review and meta-analysis","volume":"15","author":"Phongphithakchai","year":"2025","journal-title":"Life (Basel)"},{"key":"10.1016\/j.langlo.2026.104072_bib23","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1093\/trstmh\/trae017","article-title":"Predictors of 28-day mortality in melioidosis patients presenting to an emergency department: a retrospective cohort study from South India","volume":"118","author":"Nisarg","year":"2024","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"10.1016\/j.langlo.2026.104072_bib24","doi-asserted-by":"crossref","first-page":"356","DOI":"10.4103\/1995-7645.321612","article-title":"Predictors of in-hospital mortality by logistic regression analysis among melioidosis patients in northern Malaysia: a retrospective study","volume":"14","author":"Mardhiah","year":"2021","journal-title":"Asian Pac J Trop Med"}],"container-title":["The Lancet Global Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2214109X26002342?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2214109X26002342?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:43:15Z","timestamp":1791499395000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2214109X26002342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":24,"alternative-id":["S2214109X26002342"],"URL":"https:\/\/doi.org\/10.1016\/j.langlo.2026.104072","relation":{},"ISSN":["2214-109X"],"issn-type":[{"value":"2214-109X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hospital-based prevalence of culture-confirmed melioidosis among high-risk patients in India, 2023\u201325: a multicentre prospective study","name":"articletitle","label":"Article Title"},{"value":"The Lancet Global Health","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.langlo.2026.104072","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"104072"}}