The Melioidosis Cases Report of Lao Peopleีs Democratic Republic Patients in Nakhon Phanom Hospital, Northeastern Thailand - รายงานผู้ป่วยเมลิออยโดสิส จากสาธารณรัฐประชาธิปไตยประชาชนลาวที่เข้ารับการรักษาในโรงพยาบาลนครพนม ภาคตะวันออกเฉียงเหนือของประเทศไทย

Abstract

                       Melioidosis had the highest incident rates in the Northeast of Thailand; relatively few cases have been reported in adjacent Lao PDR. For six years, a review of cases was conducted at Nakhon Phanom hospital and data on the culture-proven 340 patients with melioidosis were collected, of which nineteen cases were Laotians. The clinical presentations of these cases were four with pneumonia, four with sepsis and bacteremia, four with parotid abscess, three patients with soft tissue abscess, each of and the other four with pyelonephritis, septic arthritis of knee joint, splenic abscess, or chronic leg ulcer. Six patients died while thirteen survived. The report suggested that there is a possibility for Lao PDR and Northeast of Thailand to be an endemic area of melioidosis.

Key words:      melioidosis; case report; Lao PDR