Septicemic melioidosis in association with acute influenza A was diagnosed in a Vietnam veteran. The case illustrates that activation of melioidosis can occur long after exposure to a known endemic area and may be precipitated by infections with other common pathogens. Hence, physicians must maintain a high index of suspicion of melioidosis when dealing with unexplained sepsis in Vietnam veterans. Prolonged therapy with appropriate antimicrobial agents is needed to eradicate this infection.
(JAMA 240:764-766, 1978)
Mackowiak PA, Smith JW. Septicemic MelioidosisOccurrence Following Acute Influenza A Six Years After Exposure in Vietnam. JAMA. 1978;240(8):764-766. doi:10.1001/jama.1978.03290080054027