| Definite melioidosis (Culture confirmed) |
One or more clinical samples culture positive for B. pseudomallei
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| Probable melioidosis (Clinical melioidosis) |
Presence of multiple liver abscesses and/or single or multiple splenic abscess(es) on abdominal ultrasound with an appearance that is characteristic for melioidosis (swiss cheese appearance or small dispersed abscesses), but culture not performed or negative for B. pseudomallei
OR Culture negative for B. pseudomallei on first presentation but represented to hospital within one month with culture proven melioidosis |
| Possible melioidosis (Findings that fall short of ‘probable’ but are not ‘unlikely’) |
Clinically suspected melioidosis and improved after treatment with an effective antimicrobial regimen for melioidosis (ceftazidime/carbapenem drug/amoxicillin-clavulanate), OR Clinically suspected melioidosis and died before improvement observed |
| Not melioidosis (Melioidosis is unlikely) |
Definite alternative diagnosis for manifestations leading to suspected melioidosis, OR Resolution of clinical features of suspected melioidosis without treatment with antimicrobial drugs with activity against B. pseudomallei
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