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Occurrence Following Acute Influenza A Six Years After Exposure in Vietnam

Philip A. Mackowiak, MD; James W. Smith, MD

JAMA. 1978;240(8):764-766.

Abstract
Septicemic melioidosis in association with acute influenza A was diagnosed in a Vietnam veteran. The case illustrates that activation of melioidosis can occur long after exposure to a known endemic area and may be precipitated by infections with other common pathogens. Hence, physicians must maintain a high index of suspicion of melioidosis when dealing with unexplained sepsis in Vietnam veterans. Prolonged therapy with appropriate antimicrobial agents is needed to eradicate this infection.

(JAMA 240:764-766, 1978)

Author Affiliations
From the Medical Service, Veterans Administration Hospital (Drs Mackowiak and Smith), and Department of Medicine, University of Texas Southwestern Medical School (Drs Mackowiak and Smith), Dallas.

Footnotes
Reprint requests to Medical Service, Veterans Administration Hospital, 4500 S Lancaster Rd, Dallas, TX 76216 (Dr Mackowiak).

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