We report a case of melioidosis with splenic abscesses caused by Burkholderia pseudomallei in an urban-dwelling, 54-year-old Taiwanese man. The patient presented with prolonged fever and abdominal pain. A splenectomy was performed, followed by successful treatment with ceftazidime and amoxicillin-clavulanate. The patient recovered fully.
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References
1.
WhiteNJ. Melioidosis. Lancet2003;17:1715–22
2.
BenRJ, TsaiYY, ChenJC, FengNH. Non-septicemic Burkholderia pseudomallei liver abscess in a young man. J Microbiol Immunol Infect2004;37:254–7
LinCY, ChenTC, LuPL, LinWR, ChenYH. Melioidosis presenting with isolated splenic abscesses: a case report. Kaohsiung J Med Sci2007;23:417–21
5.
SuputtamongkolY, ChaowagulW, ChechotisakdP, Risk factors for melioidosis and bacteremic melioidosis. Clin Infect Dis1999;29:408–13
6.
LumbiganonP, ViengnondhaS. Clinical manifestations of melioidosis in children. Pediatr Infect Dis J1995;14:136–40
7.
WibulpolprasertB, DhiensiriT. Visceral organ abscesses in melioidosis: sonographic findings. J Clin Ultrasound1999;27:29–34
8.
DhodapkarR, SujathaS, SivasangeethaK, PrasanthG, ParijaSC. Burkholderia pseudomallei infection in a patient with diabetes presenting with multiple splenic abscesses and abscess in the foot: a case report. Cases J2008;1:224
9.
JoazlinaZY, WastieML, AriffinN. Computed tomography of focal splenic lesions in patients presenting with fever. Singapore Med J2006;47:37–41
10.
WhiteNJ, DanceDA, ChaowagulW, WattanagoonY, WuthiekanunV, PitakwatcharaN. Halving of mortality of severe melioidosis by ceftazidime. Lancet1989;23:697–701
