Multistate Outbreak of Melioidosis Associated with Imported Aromatherapy Spray

Jay E. Gee, William A. Bower, Amber Kunkel, Julia Petras, Jenna Gettings, Maria Bye, Melanie Firestone, Mindy G. Elrod, Lindy Liu, David D. Blaney, Allison Zaldivar, Chelsea Raybern, Farah S. Ahmed, Heidi Honza, Shelley Stonecipher, Briana J. O'Sullivan, Ruth Lynfield, Melissa Hunter, Skyler Brennan, Jessica PavlickJulie Gabel, Cherie Drenzek, Rachel Geller, Crystal Lee, Jana M. Ritter, Sherif R. Zaki, Christopher A. Gulvik, W. Wyatt Wilson, Elizabeth Beshearse, Bart J. Currie, Jessica R. Webb, Zachary P. Weiner, María E. Negrón, Alex R. Hoffmaster

    Research output: Contribution to journalArticlepeer-review


    Melioidosis, caused by the bacterium Burkholderia pseudomallei, is an uncommon infection that is typically associated with exposure to soil and water in tropical and subtropical environments. It is rarely diagnosed in the continental United States. Patients with melioidosis in the United States commonly report travel to regions where melioidosis is endemic. We report a cluster of four non-travel-associated cases of melioidosis in Georgia, Kansas, Minnesota, and Texas. These cases were caused by the same strain of B. pseudomallei that was linked to an aromatherapy spray product imported from a melioidosis-endemic area.

    Original languageEnglish
    Pages (from-to)861-868
    Number of pages8
    JournalNew England Journal of Medicine
    Issue number9
    Publication statusPublished - 3 Mar 2022


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