To the Editor: Melioidosis isendemic in southern and SoutheastAsia and northern Australia. Althoughrelatively few indigenous cases arerecognized in the Indian subcontinent,a substantial proportion of casesimported into the United Kingdomoriginate there, probably reflectingpatterns of immigration and travel,and underdiagnosis within the Indiansubcontinent (1–3).A 33-year-old woman spent 3months in India. Shortly after arrivingthere, fever, myalgia, rigors, pharyn-gitis, and tender cervical lym-phadenopathy developed. After shereceived antimicrobial agents, hersymptoms initially improved, but inSeptember 2005, 1 week after return-ing to the United Kingdom, she visit-ed her general practitioner with recur-rent fever and increasingly painfulcervical lymphadenopathy. She wasgiven a course of oral co-amoxiclav625 mg 3× daily. However, the fol-lowing week she visited the emer-gency department of her local hospitalwith left-sided suppurative cervicallymphadenitis. Pus aspirated from thelymph node grew an aminoglycoside-resistant "pseudomonad" identified asPseudomonas fluorescens (API20NEprofile 1056554), assumed to be acontaminant. She was dischargedhome to complete a further 10-daycourse of co-amoxiclav
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