Asunto(s)
Colecistitis Alitiásica/complicaciones , Infección por el Virus Zika/complicaciones , Colecistitis Alitiásica/cirugía , Enfermedad Aguda , Colecistectomía Laparoscópica/métodos , Vesícula Biliar/patología , Vesícula Biliar/virología , Humanos , Huésped Inmunocomprometido , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , Ultrasonografía , Virus Zika/genética , Infección por el Virus Zika/diagnósticoRESUMEN
BACKGROUND: Melioidosis is a serious disease caused by the bacterium Burkholderia pseudomallei which affects humans and animals. It results in a wide spectrum of clinical manifestations, mainly in the respiratory tract, progressing to septic shock and death. CASE PRESENTATION: Herein, we present a series of seven patients (median age: 41 years) with confirmed melioidosis, treated at a public hospital in Piauí State, Brazil between 2019 and 2021. The most common clinical presentations were fever, cough, pneumonia, and abdominal pain. The mean duration of antibacterial therapy with 1 g of meropenem was 28.6 ± 1.1 days. Six patients recovered and one died. The mean hospitalization time was 51.0 ± 39.2 days. CONCLUSIONS: Melioidosis is an emerging infectious disease in Brazil. Health professionals in endemic areas need to be aware of the clinical presentation and appropriate clinical management of the disease because early diagnosis and early initiation of antibiotic therapy can be life-saving.