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Pan-drug-resistant and biofilm-producing strain of Burkholderia pseudomallei: first report of melioidosis from a diabetic patient in Yogyakarta, Indonesia

Authors Nuryastuti T, Umaroh N, Asdie RH, Sari IP, Musthafa A

Received 11 May 2018

Accepted for publication 16 August 2018

Published 9 November 2018 Volume 2018:11 Pages 319—323

DOI https://doi.org/10.2147/IMCRJ.S173461

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 4

Editor who approved publication: Professor Ronald Prineas


Titik Nuryastuti,1 Nusaibah Umaroh,2 Rizka Humardewayanti Asdie,3 Ika Puspita Sari,4 Ahmad Musthafa1

1Department of Microbiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; 2Pharmacy Installation of Dr. Kariadi General Hospital, Semarang, Center of Java, Indonesia; 3Department of Internal Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Sardjito Hospital, Yogyakarta, Indonesia; 4Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia

Abstract: Melioidosis, an infectious disease caused by Burkholderia pseudomallei, has recently gained importance as an emerging infectious disease in Indonesia. Reports of this infection in Indonesia are limited, although cases have been reported in Makassar, South Sulawesi. We report a case of cutaneous melioidosis caused by pan-drug-resistant, moderate biofilm-producer strain of B. pseudomallei in a diabetic patient. To the best of our knowledge, this is the first case of melioidosis caused by multidrug resistant and biofilm-former strain of B. pseudomallei being reported from Yogyakarta Province, Indonesia. The patient was successfully treated with abscess drainage and debridement, including total contact casting and no antibiotic treatment.

Keywords: melioidosis, biofilm, pan-drug-resistance, Burkholderia pseudomallei

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