Melioidosis of the Female Genitourinary Tract

Author:

Baker Kelly1,Smith Simon1,Stewart James1,Withey Grant2,Bain Madeleine3,Pridgeon Simon3,Hanson Josh14

Affiliation:

1. Department of Medicine, Cairns Hospital, Cairns, Australia;

2. Department of Radiology, Cairns Hospital, Cairns, Australia;

3. Department of Surgery, Cairns Hospital, Cairns, Australia;

4. The Kirby Institute, University of New South Wales, Sydney, Australia

Abstract

ABSTRACT. Prostatic abscess is a common manifestation of melioidosis in men, but the characteristics of female genitourinary melioidosis are incompletely defined. There were 453 cases of melioidosis in Far North Queensland, tropical Australia, between January 1998 and April 2023; genitourinary involvement was less common in women than in men (13/140 [9%] versus 76/313 [24%], odds ratio [95% confidence interval]: 0.32 [0.17–0.60], P = 0.0004). In 11 of these 13 (85%) women, other organs were also affected. The two women with disease involving only the genitourinary tract had underlying anatomical abnormalities: one had an ovarian malignancy, the only case to involve the female reproductive system in the cohort, while the other had a urethral diverticulum. In 3 of 13 (23%) women, genitourinary involvement was identified only with computed tomography, emphasizing the importance of early imaging of patients with melioidosis to identify unexpected foci of disease and to inform the optimal duration of antibiotic therapy.

Publisher

American Society of Tropical Medicine and Hygiene

Subject

Virology,Infectious Diseases,Parasitology

Reference24 articles.

1. Melioidosis and Burkholderia pseudomallei: progress in epidemiology, diagnosis, treatment and vaccination;Currie,2022

2. Melioidosis: an Australian perspective;Smith,2018

3. The Darwin Prospective Melioidosis Study: a 30-year prospective, observational investigation;Currie,2021

4. Prostatic abscess due to Burkholderia pseudomallei: 81 cases from a 19-year prospective melioidosis study;Morse,2009

5. Prostatic abscess due to Burkholderia pseudomallei: facilitating diagnosis to optimize management;Kozlowska,2018

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