Melioidosis in Pahang, Malaysia
We conducted a retrospective review of 135 patients with melioidosis in Pahang from January 2000 to June 2003. Patients were mostly male (78.5%) and Malay (83%) with a median age of 51 years. Seventy four percent of patients were diabetic. Common presentations were pneumonia (40.7%), septicaemic wit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Malaysian Medical Association
2005
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| Online Access: | http://irep.iium.edu.my/3663/1/Melioidosis_Pahang.pdf |
| _version_ | 1796875035202289664 |
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| author | How, Soon Hin Ng, K H Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf |
| author_facet | How, Soon Hin Ng, K H Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf |
| author_sort | How, Soon Hin |
| collection | IIUM |
| description | We conducted a retrospective review of 135 patients with melioidosis in Pahang from January 2000 to June 2003. Patients were mostly male (78.5%) and Malay (83%) with a median age of 51 years. Seventy four percent of patients were diabetic. Common presentations were pneumonia (40.7%), septicaemic without obvious source of infection (19.3%) and multiple organ involvement (15.6%). Only 32.7% were given appropriate antibiotics empirically. The overall mortality was 54% with most deaths (65%) occurring within 48 hours of admission. Patients with pneumonia, multiple organ involvement and septicaemic of unknown source had higher mortality as compared to patients with subcutaneous, musculoskeletal or single internal organ involvement without pneumonia (p < 0.001). The relapse rate was 19.2%. |
| first_indexed | 2024-03-05T22:32:59Z |
| format | Article |
| id | oai:generic.eprints.org:3663 |
| institution | International Islamic University Malaysia |
| language | English |
| last_indexed | 2024-03-05T22:32:59Z |
| publishDate | 2005 |
| publisher | Malaysian Medical Association |
| record_format | dspace |
| spelling | oai:generic.eprints.org:36632016-03-10T06:50:32Z http://irep.iium.edu.my/3663/ Melioidosis in Pahang, Malaysia How, Soon Hin Ng, K H Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf R Medicine (General) We conducted a retrospective review of 135 patients with melioidosis in Pahang from January 2000 to June 2003. Patients were mostly male (78.5%) and Malay (83%) with a median age of 51 years. Seventy four percent of patients were diabetic. Common presentations were pneumonia (40.7%), septicaemic without obvious source of infection (19.3%) and multiple organ involvement (15.6%). Only 32.7% were given appropriate antibiotics empirically. The overall mortality was 54% with most deaths (65%) occurring within 48 hours of admission. Patients with pneumonia, multiple organ involvement and septicaemic of unknown source had higher mortality as compared to patients with subcutaneous, musculoskeletal or single internal organ involvement without pneumonia (p < 0.001). The relapse rate was 19.2%. Malaysian Medical Association 2005 Article PeerReviewed application/pdf en http://irep.iium.edu.my/3663/1/Melioidosis_Pahang.pdf How, Soon Hin and Ng, K H and Ab Rahman, Jamalludin and Shah, Anis and Rathor, Mohammad Yousuf (2005) Melioidosis in Pahang, Malaysia. The Medical Journal of Malaysia, 60 (5). pp. 606-613. ISSN 0300-5283 http://www.e-mjm.org/2005/v60n5/Melioidosis_Pahang.pdf |
| spellingShingle | R Medicine (General) How, Soon Hin Ng, K H Ab Rahman, Jamalludin Shah, Anis Rathor, Mohammad Yousuf Melioidosis in Pahang, Malaysia |
| title | Melioidosis in Pahang, Malaysia |
| title_full | Melioidosis in Pahang, Malaysia |
| title_fullStr | Melioidosis in Pahang, Malaysia |
| title_full_unstemmed | Melioidosis in Pahang, Malaysia |
| title_short | Melioidosis in Pahang, Malaysia |
| title_sort | melioidosis in pahang malaysia |
| topic | R Medicine (General) |
| url | http://irep.iium.edu.my/3663/1/Melioidosis_Pahang.pdf |
| work_keys_str_mv | AT howsoonhin melioidosisinpahangmalaysia AT ngkh melioidosisinpahangmalaysia AT abrahmanjamalludin melioidosisinpahangmalaysia AT shahanis melioidosisinpahangmalaysia AT rathormohammadyousuf melioidosisinpahangmalaysia |