This serious disease with a high mortality is caused by the Gram-negative bacillus, Pseudomonas pseudomallei, a soil saprophyte that infects humans mainly by penetrating through skin wounds, especially abrasions. It is mostly acquired while wading in rice paddies. It is mainly a disease of Third World countries and occurs between 20° North and 20° South of the equator, mainly in South-East Asia and including Northern Australia. It may manifest as a focal infection or as septicaemia with abscesses in the lung, kidney, liver or spleen. It presents with fever, cough and myalgia. It is called the 'Vietnamese time bomb' because it can present years after the initial infection in Vietnamese war veterans.

Back Pain Relief

Back Pain Relief

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