Melioidosis has not been recognized previously in Laos, but within months o
f starting a prospective study of community acquired septicemia in Vientian
e, 2 patients with melioidosis were identified. One was a previously health
y, 44-year-old female rice farmer who presented with supraclavicular lympha
denitis and the other was a 74-year-old man with diabetes and renal calculi
who was receiving corticosteroids and had septicemia and septic arthritis.