Misidentification of Burkholderia pseudomallei as Acinetobacter species in northern Thailand.

Rachel C Greer ; Tri Wangrangsimakul ; Premjit Amornchai ; Vanaporn Wuthiekanun ; Achara Laongnualpanich ; David AB Dance ORCID logo ; Direk Limmathurotsakul ; (2018) Misidentification of Burkholderia pseudomallei as Acinetobacter species in northern Thailand. Transactions of the Royal Society of Tropical Medicine and Hygiene, 113 (1). pp. 48-51. ISSN 0035-9203 DOI: 10.1093/trstmh/try108
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BACKGROUND: Burkholderia pseudomallei is the causative agent of melioidosis, a disease endemic throughout the tropics. METHODS: A study of reported Acinetobacter spp. bacteraemia was performed at Chiang Rai provincial hospital from 2014 to 2015. Isolates were collected and tested for confirmation. RESULTS: A total of 419 putative Acinetobacter spp. isolates from 412 patients were re-identified and 5/419 (1.2%) were identified as B. pseudomallei. Four of the five patients with melioidosis died. An estimated 88/419 (21%) isolates were correctly identified as Acinetobacter spp. CONCLUSIONS: Misidentification of Acinetobacter spp. as B. pseudomallei or other bacteria is not uncommon and programmes to address these shortfalls are urgently required.


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