Melioidosis: Causes, Symptoms, Transmission & Treatment

Melioidosis is an infectious disease caused by the bacterium Burkholderia pseudomallei. It is prevalent in tropical regions, particularly Southeast Asia and Northern Australia. This article will provide an overview of Melioidosis, including its causes, symptoms, transmission, and available treatments.

Causes of Melioidosis

Melioidosis is caused by the bacterium Burkholderia pseudomallei, which is found in soil and water. The infection usually occurs when the bacterium enters the body through cuts or wounds, inhalation, or ingestion of contaminated water or soil. People with weakened immune systems or underlying health conditions are more susceptible to the disease.

Symptoms of Melioidosis

The symptoms of Melioidosis can vary widely, ranging from mild localized infections to severe systemic infections. The incubation period can be as short as 24 hours or as long as several years. Common symptoms include:

Fever: Persistent high fever is a hallmark symptom of Melioidosis. The fever may fluctuate or become intermittent.

Respiratory Issues: Individuals may experience coughing, chest pain, and difficulty breathing if the infection affects the lungs.

Skin Infections: Skin sores or ulcers may develop at the site of bacterial entry, such as cuts or wounds.

Joint Pain: Melioidosis can cause joint pain, swelling, and stiffness, resembling symptoms of arthritis.

Gastrointestinal Problems: Digestive symptoms like abdominal pain, diarrhea, and nausea may occur.

Fatigue and Weight Loss: Generalized fatigue and unexplained weight loss can be present in severe cases.

Transmission of Melioidosis

The primary mode of transmission of Melioidosis is through direct contact with contaminated soil or water. Activities such as farming, gardening, or walking barefoot on soil can increase the risk of exposure. Inhalation of contaminated dust or droplets can lead to respiratory infection. Person-to-person transmission is rare but possible through direct contact with infected body fluids or secretions.

Treatment of Melioidosis

Early diagnosis and prompt treatment are crucial for managing Melioidosis effectively. The antibiotic therapy is typically initiated with a combination of intravenous drugs, such as ceftazidime or meropenem, followed by a course of oral antibiotics like trimethoprim-sulfamethoxazole. The duration of treatment may vary depending on the severity of the infection.

In some cases, surgical intervention may be required to drain abscesses or remove infected tissue. Treatment may also involve supportive measures, including intravenous fluids, pain relief, and respiratory support for severe cases.

Prevention and Precautions

Preventing Melioidosis involves taking several precautions, especially in endemic regions. These measures include:

  • Avoiding direct contact with soil and stagnant water, especially during rainy seasons.
  • Wearing protective clothing, such as gloves and boots, when working in high-risk environments.
  • Practicing good hygiene, including thorough handwashing with soap and water.
  • Covering cuts and wounds with waterproof dressings.
  • Drinking only treated or boiled water, and avoiding raw or undercooked food.


Melioidosis is a potentially serious infectious disease caused by Burkholderia pseudomallei bacteria. Understanding its causes, recognizing its symptoms, and practicing preventive measures are essential for minimizing the risk of infection. If you suspect you have been exposed to Melioidosis or experience any concerning symptoms, seek medical attention promptly for diagnosis and treatment.

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