Melioidosis in Trinidad and Tobago

To the Editor: Melioidosis refers to infection caused by the facultative intracellular gram-negative bacterium Burk-holderia pseudomallei. The clinical manifestations of meli-oidosis span a wide spectrum, from asymptomatic exposure or localized cutaneous infection to septic shock with multi-organ failure. Melioidosis usually occurs in residents of or travelers to disease-endemic areas in northern Australia and Southeast Asia; however, an increasing number of confirmed melioidosis cases are being reported from the Caribbean. We report a case of melioidosis acquired in Trinidad and Tobago. In February 2014, a 17-year-old male student was ad-mitted to a tertiary care hospital in Vancouver, British Co-lumbia, Canada, with catecholaminergic polymorphic ven-tricular tachycardia and electrical storm. He had a 9-month history of dry cough that was unresponsive to multiple and