Disseminated melioidosis in early pregnancy - an unproven cause of foetal loss

Abstract

Abstract Background Melioidosis is a potentially life-threatening infection caused by the Gram-negative bacterium Burkholderia pseudomallei. Melioidosis is difficult to diagnose due to its diverse clinical manifestations, which often delays administration of appropriate antibiotic therapy. Case presentation Melioidosis is uncommon in pregnancy but both spontaneous abortion and neonatal melioidosis have been reported. We report a case of bacteraemic melioidosis in a young woman with a subsequent spontaneous abortion, with B. pseudomallei cultured from a high vaginal swab as well as blood. Conclusion It remains unclear in this and previously reported cases as to whether the maternal melioidosis was sexually transmitted.

Keywords

• Melioidosis
• Burkholderia pseudomallei
• Pregnancy
• Abortion