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Disease/Syndrome Glanders
Category Infection, Occupational
Acute/Chronic Acute-Severe
Synonyms Burkholderia mallei infection
Biomedical References Search PubMed
Comments FINDINGS: Localized skin infections after direct inoculation consist of ulcerating nodules with lymphangitis and lymphadenopathy. In the pulmonary form, patients have fever and pleurisy. The chest x-ray may show diffuse infiltrates, nodular densities, or lobar consolidation. The septicemic form may follow untreated lymph node infections to seed abscesses of the skin, liver, spleen, and lungs. [ID, p. 1463-4] The disease occurs in both acute and chronic forms. Findings include pustules, suppurating lymph nodes, hilar adenopathy, liver and spleen abscesses, and septicemia. [PPID, p. 2630] EPIDEMIOLOGY: This highly communicable disease of horses, mules, and donkeys rarely infects humans. Occupational infections occur in workers exposed to infected animals or laboratory cultures. [CCDM, p. 356] Humans become infected after contact with respiratory secretions and wound discharges from infected animals. Person-to-person transmission occurs. Only one case has been reported in the USA since 1944, and this was a worker in a biodefense laboratory. [ID, p. 1462]
Latency/Incubation 10 days to 2 weeks
Diagnostic Culture; Serology;
ICD-9 Code 024
Effective Antimicrobics Yes
Scope Asia, eastern Mediterranean countries; [CCDM, p. 356] Asia, Africa, and South America; [ID, p. 1463]
Reference Link CDC - Glanders
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Symptoms/Findings Symptoms/Findings associated with this disease:
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Last updated: January, 2009