Melioidosis: A Rare Cause of Liver Abscess
Joint Authors
Martin, Peter Franz M. San
Teh, Catherine S. C.
Casupang, Ma. Amornetta J.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-26
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Case Presentation.
This is a case of a 44-year-old male, farmer, known to be diabetic, presenting with two-week history of vague abdominal pain associated with high grade fever.
Abdominal CT scan showed localized liver abscess at segment 8 measuring 7.5 × 6.8 × 6.1 cm.
Patient subsequently underwent laparoscopic ultrasound guided pigtail insertion for drainage of abscess.
Culture studies showed moderate growth of Burkholderia pseudomallei in which the patient completed seven days of IV Meropenem.
On follow-up after 12 weeks of oral Sulfamethoxazole/Trimethoprim, taken twice a day, the patient remained asymptomatic with no residual findings based on the abdominal ultrasound.
Discussion.
Diagnosis of melioidosis, a known “great masquerader,” relies heavily on culture studies.
Consensus with regard to the management of liver abscess caused by Burkholderia pseudomallei has not yet been established due to the rarity of cases.
Surgical intervention through either a percutaneous or open drainage has shown good outcomes compared to IV antibiotics alone.
In Philippines, the possibility of underreporting is highly plausible.
This write-up serves not only to report a rare presentation of melioidosis but also to add to the number of cases reported in the country, possibly indicative of disease emergence.
American Psychological Association (APA)
Martin, Peter Franz M. San& Teh, Catherine S. C.& Casupang, Ma. Amornetta J.. 2016. Melioidosis: A Rare Cause of Liver Abscess. Case Reports in Hepatology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100907
Modern Language Association (MLA)
Martin, Peter Franz M. San…[et al.]. Melioidosis: A Rare Cause of Liver Abscess. Case Reports in Hepatology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100907
American Medical Association (AMA)
Martin, Peter Franz M. San& Teh, Catherine S. C.& Casupang, Ma. Amornetta J.. Melioidosis: A Rare Cause of Liver Abscess. Case Reports in Hepatology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100907
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100907