Global & Disaster Medicine

Melioidosis & Hurricanes

Guendel I, Ekpo LL, Hinkle MK, Harrison CJ, Blaney DD, et al.:
Melioidosis after Hurricanes Irma and Maria, St. Thomas/St. John
District, US Virgin Islands, October 2017. Emerg Infect Dis. 2019;
25(10): 1952-1955. doi: 10.3201/eid2510.180959.
“…..Furthermore, emergence of melioidosis after extreme weather events has been well documented, and cases were likely acquired locally from storm-related exposure to flooded soil, surface water runoff, or generation of coarse aerosols….”
Cutaneous melioidosis lesion in case-patient 1 after hurricanes Irma and Maria, St. Thomas/St. John District, US Virgin Islands, October 2017. This lesion was on the left anterior thigh and had a diameter of 2 cm. Shown is a tender, shallow, ulcer productive of purulent material surrounding by erythema and a focal area of induration. Scale bar indicates 1 cm.
Cutaneous melioidosis lesion in case-patient 1 after Hurricanes Irma and Maria, St. Thomas/St. John District, US Virgin Islands, October 2017. This lesion was on the left anterior thigh and had a diameter of 2 cm. Shown is a tender, shallow, ulcer productive of purulent material surrounded by erythema and a focal area of induration. Scale bar indicates 1 cm.
https://youtu.be/dDYurfzVdYQ
https://www.youtube.com/watch?v=HGi9q2XJMt8
https://youtu.be/dDYurfzVdYQ?t=6

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