{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:20:09Z","timestamp":1789438809435,"version":"build-2803163510"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>As it is increasingly being reported from India, we carried out a prospective study of patients with culture-proven melioidosis from south India, examining clinical, laboratory features, epidemiological data, risk factors, treatments, outcomes at three and six months, and factors associated with mortality.<\/jats:p>\n                  <jats:p>Between 2014 and 2018, 31 cases were identified. Diabetes (83.9%) and alcohol abuse (58.1%) were common risk factors. Musculoskeletal, skin and soft tissue manifestations together constituted 48.4% of presentations, while 29% had pneumonia. During the intensive phase, 74.2% received one of three recommended antibiotic regimes, but 51.6% did not receive continuation treatment. Pneumonia and lack of continuation treatment were independently associated with a high mortality of 25.8%. Hot spots for melioidosis exist in India, and there is considerable diversity of presentation, including skin, soft tissue, musculoskeletal and neurological involvement. High rates of bacteraemia are shown.<\/jats:p>","DOI":"10.1177\/0049475520943698","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T03:54:26Z","timestamp":1596081266000},"page":"174-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Melioidosis: distinctive clinico-epidemiological characteristics in southern India"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2071-1400","authenticated-orcid":false,"given":"Aneesh","family":"Basheer","sequence":"first","affiliation":[{"name":"Professor, Department of General Medicine, Pondicherry Institute of Medical Sciences, Kalapet, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayyar","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of General Medicine, Pondicherry Institute of Medical Sciences, Kalapet, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheeladevi","family":"C","sequence":"additional","affiliation":[{"name":"Professor, Department of Microbiology, Pondicherry Institute of Medical Sciences, Kalapet, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reba","family":"Kanungo","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Microbiology, Pondicherry Institute of Medical Sciences, Kalapet, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravichandran","family":"Kandasamy","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Biostatistics, Pondicherry Institute of Medical Sciences, Kalapet, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,29]]},"reference":[{"key":"bibr1-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1038\/529290a"},{"key":"bibr2-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(08)70002-6"},{"key":"bibr3-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1038\/nmicrobiol.2015.8"},{"key":"bibr4-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000900"},{"key":"bibr5-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0005923"},{"key":"bibr6-0049475520943698","doi-asserted-by":"publisher","DOI":"10.3201\/eid1707.101069"},{"key":"bibr7-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-016-1583-2"},{"key":"bibr8-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2012.02.012"},{"key":"bibr9-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(08)70005-1"},{"key":"bibr10-0049475520943698","unstructured":"Tille P, editor.\n                      Bailey & Scott\u2019s Diagnostic Microbiology\n                      . 14th edn. St. Louis: Elsevier, 2017."},{"key":"bibr11-0049475520943698","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir808"},{"key":"bibr12-0049475520943698","doi-asserted-by":"publisher","DOI":"10.3201\/eid2502.170745"},{"key":"bibr13-0049475520943698","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed3020040"},{"key":"bibr14-0049475520943698","first-page":"322","volume":"11","author":"Wadwekar B","year":"2018","journal-title":"Australian Medical Journal"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520943698","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475520943698","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520943698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:32:32Z","timestamp":1777642352000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475520943698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,29]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1177\/0049475520943698"],"URL":"https:\/\/doi.org\/10.1177\/0049475520943698","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,29]]}}}