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DOI: 10.1055/s-0043-1768939
Melioidosis Presenting as Splenic Abscess: A Case Report
Abstract
Melioidosis is an infectious disease caused by Gram-negative bacilli Burkholderia pseudomallei. Infection is acquired by direct exposure through broken skin, inhalation, or ingestion of the bacterium. Melioidosis has a wide variety of clinical presentations, ranging from an asymptomatic infection or localized cutaneous manifestations at the site of the entry, deep-seated abscess, to multiple organ involvement with sepsis leading to death. Although not uncommon, there is a lack of awareness of its variable presentation leading to a delay in the diagnosis and thus treatment. The diagnosis of melioidosis rests on the culture of the organism from biological samples. Presentation as a splenic abscess is rather rare and a high index of suspicion is needed for the diagnosis. In this article, we report an interesting case of recurrent splenic abscess which was eventually diagnosed to be due to melioidosis.
Keywords
tuberculosis - diabetes - Burkholderia - melioidosis - alcohol abuse - splenic abscess - mediastinal lymphadenopathyEthical Statement
As only anonymized data are being reported, ethical clearance was waived off by the ethics committee. A written and informed consent for publication was taken from the patient before submission of the case report.
Authors' Contribution
Conception and design of the study: A.A., C.L.B.
Generation, collection, assembly, analysis, and/or interpretation of data: P.K., S.Y., T.Y.
Drafting or revision of the manuscript: P.K., S.Y., C.L.B., A.A.
Critical revision of the article for important intellectual content: C.L.B., A.A., T.Y.
Approval of the final version of the manuscript: All the authors approved the final manuscript.
Guarantor of article: A.A.
Data Availability Statement
There is no data associated with this work.
Publication History
Received: 07 February 2023
Accepted: 19 March 2023
Article published online:
22 September 2023
© 2023. Gastroinstestinal Infection Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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