Table 1.

Clinical summary, radiological findings and outcomes of five blood culture–confirmed melioidosis cases in Chiang Rai, Thailand (observations and SOFA scores on admission are shown)

Patient	Age (y)	Sex	Risk factors	Temperature (°C)	HR (/min)	BP (mmHg)	RR (/min)	SOFA score	Presenting symptoms	Examination findings	Radiological findings	Working diagnoses	Outcome
1	65	M	Smoker, chronic obstructive pulmonary disease, lung abscess	37.5	122	100/60	40	8	Fever, cough, dyspnoea, abdominal pain	Reduced breath sounds on the left; right upper quadrant abdominal pain	CXR: left lung abscess; US: hepatic parenchymal disease	Chronic lung abscess with acute pneumonia, septic shock, multi-organ failure	Died within 24 h of admission
2	62	M	Smoker, diabetes mellitus (new diagnosis)	35.0	66	69/45	20	9	Fever, abdominal pain, vomiting	Marked right upper quadrant tenderness with hepatomegaly	CXR: right upper zone infiltration	Septic shock, acute respiratory distress syndrome, multi-organ failure	Died on day 6 of admission
3	35	M	Smoker, alcoholism, cirrhosis	37.8	114	125/73	18	2	Fever	Hepatomegaly	Not done	Ongoing melioidosis, urinary tract infection	Recovered
4	64	M	Diabetes mellitus	36.6	125	130/68	Intubated and ventilated	14	Fever, cough, dyspnoea	Right lung crepitation	CXR: bilateral lung infiltrates	Septic shock, diabetic ketoacidosis, pneumonia, multi-organ failure	Died within 48 h of admission
5	62	M	Chronic kidney disease	38.5	107	109/73	Intubated and ventilated	13	Fever, cough, dyspnoea	Widespread wheezing and crepitation	CXR: right lung infiltration	Sepsis, pneumonia, multi-organ failure	Died on day 6 of admission

BP: blood pressure; CXR: chest X-ray; HR: heart rate; M: male; RR: respiration rate; SOFA: sequential organ failure assessment; US: ultrasound.