The patient, who had underlying conditions including diabetes, was admitted to Phuc Yen General Hospital with high fever, difficulty breathing, and signs of septic shock. His condition worsened rapidly despite initial treatment, requiring mechanical ventilation and vasopressors.

Doctors confirmed the diagnosis after culturing the patient’s sputum, identifying the presence of Burkholderia pseudomallei. Once identified, the treatment team adjusted the antibiotic regimen and initiated aggressive critical care.

After six days in intensive care, the patient began recovering. By day 21, he had stabilized, cleared the infection, and was discharged in good condition with a three-month course of oral antibiotics to prevent relapse.

Whitmore disease is rare but extremely dangerous, with mortality rates reaching 40% if untreated. It is caused by bacteria found in contaminated soil and water and poses the highest risk during rainy seasons, particularly in people with chronic conditions like diabetes or heart disease.

Dr. Do Duy Cuong of Bach Mai Hospital notes that the disease often mimics other infections and is difficult to diagnose early. There is currently no vaccine available, and preventive measures include good hygiene, avoiding contact with contaminated water or soil, and prompt wound care.

N. Huyen