C-reactive protein in the diagnosis of melioidosis

A CHENG, M O'Brien, Susan Jacups, Nicholas Anstey, Bart Currie

    Research output: Contribution to journalArticle

    Abstract

    Previous work suggested that C-reactive protein (CRP) may be a useful test in the diagnosis of melioidosis, the infection caused by Burkholderia pseudomallei. We reviewed patients with culture-confirmed melioidosis to define the role of this inflammatory marker in the diagnosis of melioidosis. In 175 patients, we found that the admission CRP level may be normal or only mildly elevated, including patients with severe sepsis, fatal cases, and in relapsed melioidosis. In a multivariate analysis, sepsis and bacteremia were more strongly associated with mortality than CRP. Admission levels of CRP are not a sensitive marker for the presence of melioidosis and a normal level cannot be used to exclude acute, chronic, or relapsed melioidosis in febrile patients in or from endemic regions.
    Original languageEnglish
    Pages (from-to)580-582
    Number of pages3
    JournalAmerican Journal of Tropical Medicine and Hygiene
    Volume70
    Issue number5
    Publication statusPublished - 2004

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