Adapting LFI for Melioidosis

Inclusion Criteria: * Admitted to Kapit Hospital * Fever more than 3 days and one or more of the following: * Enlarged cervical, inguinal or axillary lymph nodes (greater than 3 cm in diameter), painless adenopathy or lymphadenitis or lymph node abscesses * One or both sides glands involvement such as tender swelling over medial aspect of the lower eyelid of the lacrimal glands; submandibular glands, parotic glands * Bedside scan with splenic or liver hypoechoic lesion (less than 2cm in diameter) * Pneumonia not responding to 48 hours of first line antibiotics * One or more joint pain with swelling * Purplish vesicle or bullae mainly over the lower limbs, may resulting in ulcer after rupture * Deep seated abscess or brain abscess or genitourinary abscess or osteomyelitis * Severe sepsis patient with or without shock and/or with multiorgan involvement Exclusion Criteria: * Have a clear alternative diagnosis other than melioidosis by a trained health care professional at the Kapit Hospital * Have already been treated for melioidosis (e.g. received antibiotics before the start of the study) * Are younger than 6 months of age