{"doi":"10.4269/ajtmh.23-0369","title":"Case Report: Risk Factors Associated with Mortality in Adults with Burkholderia Pseudomallei Bacteremia: A Retrospective Case Series of Melioidosis in Cambodia","abstract":"In resource-scarce settings, melioidosis is associated with up to 80% mortality. Studies of melioidosis in Cambodia report primarily on pediatric populations with localized infection; however, literature describing Cambodian adults with severe melioidosis is lacking. We present a case series of 35 adults with sequence-confirmed Burkholderia pseudomallei bacteremia presenting to a provincial referral hospital in rural Cambodia. More than 90% of the patients had diabetes, an important risk factor for developing melioidosis. Inappropriate antimicrobial therapy was significantly associated with lower odds of survival. Improved diagnostic testing and greater access to first-line antibiotics for acute melioidosis treatment present potential targets for intervention to reduce mortality associated with this disease in resource-limited settings.","journal":"American Journal of Tropical Medicine and Hygiene","year":2024,"id":480439,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9099,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":552656,"name":"Sophana Chea","orcid":"0000-0003-3187-3691","position":1,"is_corresponding":false},{"id":1320345,"name":"Helena Saunders","orcid":null,"position":2,"is_corresponding":false},{"id":808617,"name":"Sokna Ly","orcid":null,"position":3,"is_corresponding":false},{"id":1197625,"name":"Ratanak Sath","orcid":null,"position":4,"is_corresponding":false},{"id":1320346,"name":"Rathna Tim","orcid":null,"position":5,"is_corresponding":false},{"id":552655,"name":"Sreyngim Lay","orcid":"0000-0002-2388-8511","position":6,"is_corresponding":false},{"id":989696,"name":"Mengheng Oum","orcid":null,"position":7,"is_corresponding":false},{"id":1289799,"name":"Gechlang Tang","orcid":"0009-0007-2745-7114","position":8,"is_corresponding":false},{"id":1320347,"name":"Lyhourng Long","orcid":null,"position":9,"is_corresponding":false},{"id":553340,"name":"Sovann Ly","orcid":null,"position":10,"is_corresponding":false},{"id":553342,"name":"Heng Seng","orcid":null,"position":11,"is_corresponding":false},{"id":962690,"name":"Sidonn Krang","orcid":null,"position":12,"is_corresponding":false},{"id":1320348,"name":"Chhouv Chhuon","orcid":null,"position":13,"is_corresponding":false},{"id":1320349,"name":"Vantha Te","orcid":null,"position":14,"is_corresponding":false},{"id":1290259,"name":"Sosorphea Seang","orcid":null,"position":15,"is_corresponding":false},{"id":290868,"name":"Chanthap Lon","orcid":"0000-0003-4901-5003","position":16,"is_corresponding":false},{"id":517426,"name":"Christina Yek","orcid":"0000-0001-8293-3901","position":17,"is_corresponding":false},{"id":344856,"name":"Jessica E. Manning","orcid":"0000-0003-0232-2196","position":18,"is_corresponding":false},{"id":868604,"name":"Andrea R. Pacheco","orcid":"0000-0001-8705-5343","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:07:02.142014Z","pmid":"38889712","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}