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 CASE REPORT
Year : 2007  |  Volume : 25  |  Issue : 2  |  Page : 150-151

Isolated liver abscesses in melioidosis


1 Departments of Gastrointestinal Sciences, Christian Medical College, Vellore - 632 004, Tamil Nadu, India
2 Departments of Microbiology, Christian Medical College, Vellore - 632 004, Tamil Nadu, India

Correspondence Address:
A Mukhopadhya
Departments of Gastrointestinal Sciences, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.32724

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Melioidosis is a suppurative chronic infection caused by a gramnegative bacterium, Burkholderia pseudomallei . We report two patients who presented with isolated liver abscesses caused by this pathogen. Both patients presented with high-grade fever and abdominal pain. On examination they were toxic and had tender hepatomegaly. Investigations showed leucocytosis and a shift to the left. Early diagnosis of melioidosis was made by culture and growth of Burkholderia pseudomallei from aspirated pus from the abscesses and the patients were treated with ceftazidime and co-trimoxazole. Despite institution of antibiotics both the patients succumbed to their illness. Melioidosis is an emerging infection in the Indian subcontinent and can cause isolated liver abscesses.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04