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Melioidosis in sickle cell hemoglobinopathies in eastern India: Cavitating pneumonia and immune susceptibility-a case series-based insight

delete2026-02-01
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PRE
AI
M
Mohapatra, Prasanta Raghab *
P
Parekh, Aneri
B
Behera, Bijayini
S
Singh, Siddarth
D
De, Supantha
DOI:10.1016/j.ijmmb.2026.101075delete
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Abstract

Abstract

En 中文
Melioidosis, caused by Burkholderia pseudomallei, is an emerging infection in the tropics. Most of the melioidosis patients have underlying co-morbidities or occupational exposures. Hemoglobinopathies, such as thalassemia, are established risk factors for melioidosis; however, the association of SCD with melioidosis is infrequently reported. We report two culture-confirmed melioidosis cases from eastern India: a 58-year-old male with SCD on hydroxyurea and another 44-year-old with sickle cell trait, both presenting with cavitary lung lesions mimicking tuberculosis. SCD-related functional asplenia may heighten susceptibility. These cases emphasise the need for clinical vigilance in endemic areas and further research into SCD/SCT-associated immune vulnerabilities.
Keywords:
Sickle cell disease
Melioidosis
Burkholderia pseudomallei

Journal

Indian Journal of Medical Microbiology cover
Indian Journal of Medical Microbiology
IF:
1.3
Papers:
91
Citations:
2.0K

Organization