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Splenic abscess due to chronic melioidosis in a patient previously misdiagnosed as tuberculosis.

Kunnathuparambil SG, Sathar SA, Tank DC, Sreesh S, Mukunda M, Narayanan P, Vinayakumar KR - Ann Gastroenterol (2013)

Bottom Line: Sporadic cases have been reported from many parts of the world where it has an epidemic potential with high-rate fatality cases.Sporadic cases of melioidosis are mistaken for tuberculosis in India.This case is reported because of the rarity of the disease and to highlight the importance of looking for melioidosis in patients with splenic abscess even in non-endemic areas.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.

ABSTRACT
Melioidosis is endemic in Southeast Asia and Northern Australia. Sporadic cases have been reported from many parts of the world where it has an epidemic potential with high-rate fatality cases. In non-endemic areas, melioidosis may be misdiagnosed with common diseases and this may prove fatal. Sporadic cases of melioidosis are mistaken for tuberculosis in India. We report a case of splenic abscess due to chronic melioidosis who was earlier misdiagnosed as tuberculosis and underwent anti-tuberculosis therapy. Following treatment of melioidosis his symptoms subsided. This case is reported because of the rarity of the disease and to highlight the importance of looking for melioidosis in patients with splenic abscess even in non-endemic areas.

No MeSH data available.


Related in: MedlinePlus

Splenic abscess with peri-splenic extension
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Figure 1: Splenic abscess with peri-splenic extension

Mentions: His hemogram showed polymorphonuclear leukocytosis and an erythrocyte sedimentation rate of 70 mm/h. He had a fasting blood sugar value of 236 mg/dL and a postprandial value of 300 mg/dL with a urine sugar of 2%. His renal function and electrolytes were normal. His liver function tests and prothrombin time were within normal limits (WNL). His amylase and lipase levels were WNL. His chest X-ray showed right upper zone fibrosis. His upper and lower gastrointestinal endoscopies were normal. Ultrasonography of the abdomen showed a collection of heterogeneous echogenicity near the inferior pole of spleen suggestive of a perisplenic abscess. Contrast-enhanced CT scan of the abdomen revealed a splenic abscess with a breech in the capsule and extension of abscess into the perisplenic area (Fig. 1). His viral serology was negative for hepatitis B, C and human immunodeficiency virus.


Splenic abscess due to chronic melioidosis in a patient previously misdiagnosed as tuberculosis.

Kunnathuparambil SG, Sathar SA, Tank DC, Sreesh S, Mukunda M, Narayanan P, Vinayakumar KR - Ann Gastroenterol (2013)

Splenic abscess with peri-splenic extension
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3959514&req=5

Figure 1: Splenic abscess with peri-splenic extension
Mentions: His hemogram showed polymorphonuclear leukocytosis and an erythrocyte sedimentation rate of 70 mm/h. He had a fasting blood sugar value of 236 mg/dL and a postprandial value of 300 mg/dL with a urine sugar of 2%. His renal function and electrolytes were normal. His liver function tests and prothrombin time were within normal limits (WNL). His amylase and lipase levels were WNL. His chest X-ray showed right upper zone fibrosis. His upper and lower gastrointestinal endoscopies were normal. Ultrasonography of the abdomen showed a collection of heterogeneous echogenicity near the inferior pole of spleen suggestive of a perisplenic abscess. Contrast-enhanced CT scan of the abdomen revealed a splenic abscess with a breech in the capsule and extension of abscess into the perisplenic area (Fig. 1). His viral serology was negative for hepatitis B, C and human immunodeficiency virus.

Bottom Line: Sporadic cases have been reported from many parts of the world where it has an epidemic potential with high-rate fatality cases.Sporadic cases of melioidosis are mistaken for tuberculosis in India.This case is reported because of the rarity of the disease and to highlight the importance of looking for melioidosis in patients with splenic abscess even in non-endemic areas.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.

ABSTRACT
Melioidosis is endemic in Southeast Asia and Northern Australia. Sporadic cases have been reported from many parts of the world where it has an epidemic potential with high-rate fatality cases. In non-endemic areas, melioidosis may be misdiagnosed with common diseases and this may prove fatal. Sporadic cases of melioidosis are mistaken for tuberculosis in India. We report a case of splenic abscess due to chronic melioidosis who was earlier misdiagnosed as tuberculosis and underwent anti-tuberculosis therapy. Following treatment of melioidosis his symptoms subsided. This case is reported because of the rarity of the disease and to highlight the importance of looking for melioidosis in patients with splenic abscess even in non-endemic areas.

No MeSH data available.


Related in: MedlinePlus