Diagnostic Code 6318 · 38 CFR §4.88b
Melioidosis is caused by the soil bacterium Burkholderia pseudomallei found in tropical regions. The bacteria can remain dormant for decades before reactivating. The VA requires confirmation by culture or other specific diagnostic tests for initial diagnosis and any relapse. Residuals including arthritis, lung lesions, and meningitis are rated under appropriate body system codes.
| Rating | Criteria |
|---|---|
| 100% | Active melioidosis with confirmed culture during treatment. |
| 0% | Treated with no active disease. Residuals including arthritis, lung lesions, and meningitis are rated under appropriate body system codes. |
Bacterial culture or other specific diagnostic tests confirming Burkholderia pseudomallei. Deployment records to endemic areas. Treatment records. Documentation of reactivation episodes. Post-treatment organ evaluations.
Yes. The longest documented reactivation was over 60 years after exposure. Vietnam veterans are a recognized risk population.
It can affect virtually any organ and resemble tuberculosis, pneumonia, cancer, or other diseases.