Sequelae Systemic invasion can occur with resulting chronic abscessation. Transmission Generally transmitted from animals to humans. Has been considered a possible agent of bioterroristic attacks. Risk Groups Veterinarians, horse and donkey caretakers, abattoir workers, workers in laboratories where the organism is being handled or in areas where equines may be infected. No national or state surveillance exists.
Trends Remains extremely rare in humans.
In 2000, a laboratory acquired case occurred. Challenges Development of rapid laboratory, clinical, and epidemiologic protocols for the timely detection of glanders infections resulting from bioterrorism. Opportunities Determining antibiotic susceptibility patterns among isolates of Burkholderia mallei .