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Systemic Melioidosis Presenting as Myocardial Infarct

Ann Intern Med. 1967;67(4):836-842. doi:10.7326/0003-4819-67-4-836
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Melioidosis (Greek: "resembling a distemper of asses") was originally described in 1912 by Whitmore and Krishnaswami (1) when they distinguished a "disease somewhat resembling, but really easily distinguishable from, glanders prevalent among the ill-nourished, neglected, wastrels of the town" (Rangoon). Since that time hundreds of cases have been reported in the world literature. Although the disease remains largely limited to an endemic area centering in Southeast Asia, at least two cases (2) have been acquired in the western hemisphere.

Melioidosis results from infection by the bacillus Pseudomonas pseudomallei. Most recognized cases are of the acute variety, but recently a chronic


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