Splenic abscess due to chronic melioidosis in a patient previously misdiagnosed as tuberculosis
نویسندگان
چکیده
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.
منابع مشابه
Clinical manifestation of pulmonary melioidosis in adults.
Between 1996 and 2002, 162 cases of pulmonary melioidosis were reported from Srinagarind Hospital, Khon Kaen, northeast Thailand, 90 acute vs 72 subacute/chronic. Patients averaged 50 years of age and half worked as farmers. The male to female ratio was between 2 and 3 to 1 depending on the subgrouping. Burkholderia pseudomallei was confirmed by a culture or a four-fold rise in titer in the maj...
متن کاملSplenic Actinomycosis: Unusual Presentation
Splenic abscess is not a common condition and actinomyces as a cause is very rarely reported. We report a case of actinomycosis of spleen in a 12 year-old boy, with a few days history of abdominal pain and fever. Past medical history was not significant. Due to sever abdominal pain and tenderness condition laparatomy was done that a small perforated area was seen on hilum of spleen, so splenect...
متن کاملGuillaine-barre syndrome; a rare complication of melioidosis. a case report
BACKGROUND Melioidosis caused by Burkholderia pseudomellei is an infection with protean clinical manifestations. Guillain-Barré syndrome [GBS] associated with melioidosis is very rare. CASE PRESENTATION A 42-year-old woman with diabetes presented with abdominal pain, vomiting and intermittent fever for one month. Six months before presentation she had recurrent skin abscesses. Three months be...
متن کاملPancreatic involvement in melioidosis.
CONTEXT Melioidosis is endemic to tropical regions and, despite the common occurrence of intra-abdominal abscesses, pancreatic involvement in melioidosis has not previously been reported. OBJECTIVE We report our experience with pancreatic melioidosis. PATIENTS All 65 patients treated for melioidosis who had computed tomography (CT) scans were identified from prospective databases and were r...
متن کاملPrimary Splenic Tuberculosis in a 43-Year-Old Female Patient in Fatemi Hospital of Ardebil: A Case Report
Background and Objectives: Tuberculosis (TB) is included within the top ten causes of death worldwide. This disease is associated with pulmonary and extrapulmonary involvement. The major extra pulmonary organs involved in the disease, are lymph nodes, pleura, genitourinary tract, bones, and meningeal tissue. Primary splenic infection is one of the rare complications of TB. Case Report: Patie...
متن کامل