{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T21:23:08Z","timestamp":1789939388071,"version":"4.0.1"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 66-year-old man returned to the UK from Thailand with a 2-week history of new confusion, hallucinations, fever with rigours and productive cough. He had not responded to (unspecified) antibiotic treatment in Thailand. On examination he was afebrile, with an abbreviated mental test score of 8\/10 and no other findings on systemic examination. He was treated with ceftriaxone in response to discovery of a Gram-negative organism in blood. This was converted to meropenem on the clinical suspicion of our microbiologist, on the basis of a history of contact with surface water in the Far East. A blood culture subsequently confirmed <jats:italic>Burkholderia pseudomallei<\/jats:italic>. His condition remained stable for approximately 4\u2005days, but then deteriorated over the course of the next 2\u2005weeks with pneumonia and subsequent formation of disseminated abscesses. Treatment was withdrawn as his condition deteriorated to the point at which survival was deemed impossible and he subsequently died.<\/jats:p>","DOI":"10.1136\/bcr-2013-009655","type":"journal-article","created":{"date-parts":[[2013,4,19]],"date-time":"2013-04-19T00:43:08Z","timestamp":1366332188000},"page":"bcr2013009655","source":"Crossref","is-referenced-by-count":7,"title":["Melioidosis in a returning traveller"],"prefix":"10.1136","volume":"2013","author":[{"given":"Alaa","family":"Ismail","sequence":"first","affiliation":[{"name":"Department of Medicine, Hillingdon Hospital, Uxbridge, Middlesex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Buckley","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hillingdon Hospital, Uxbridge, Middlesex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon William","family":"Dubrey","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hillingdon Hospital, Uxbridge, Middlesex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,4,18]]},"reference":[{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.1","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.trstmh.2007.02.024","article-title":"Melioidosis in a rural community of Western Province, Papua New Guinea","volume":"2013","author":"Warner","year":"2007","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.2","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1086\/318116","article-title":"Endemic melioidosis in tropical northern Australia: a 10\u2005year prospective study and review of the literature","volume":"2013","author":"Currie","year":"2000","journal-title":"Clin Infect Dis"},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.3","unstructured":"Blaney DD Gee JE Smith TL . CDC traveller's health chapter 3. Infectious diseases related to travel . http:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2012\/chapter-3-infectious-diseases-related-to-travel\/melioidosis.htm (accessed 12 Apr 2013)."},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.4","unstructured":"Health Protection Agency. General information on melioidosis . http:\/\/www.hpa.org.uk\/Topics\/InfectiousDiseases\/InfectionsAZ\/Melioidosis\/GeneralInformation\/melioGeneralInformationMelioidosis\/ (accessed 12 Apr 2013)."},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.5","unstructured":"Malnich H Englender HA Dance DAD . A decade of experience of the United Kingdom's melioidosis diagnostic service. http:\/\/www.hpa.org.uk\/webc\/HPAwebfile\/HPAweb_C\/1203496926848 (accessed 12 Apr 2013)."},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.6","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1586\/eri.10.4","article-title":"Present and future therapeutic strategies for melioidosis and glanders","volume":"2013","author":"Estes","year":"2010","journal-title":"Expert Rev Anti Infect Ther"},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.7","first-page":"125","article-title":"An Antipodean infection","volume":"2013","author":"Cafferkey","year":"2012","journal-title":"Ir Med J"},{"key":"2025082802220077000_2013.apr18_1.bcr2013009655.8","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1017\/S0022215110000381","article-title":"Melioidosis and the vacuum-assisted closure device: a rare cause of a discharging neck wound, and a new approach to management","volume":"2013","author":"Garas","year":"2010","journal-title":"J Laryngol Otol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009655","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:22:08Z","timestamp":1756372928000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,18]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-009655"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009655","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,18]]}}}