A Case of Melioidosis
نویسنده
چکیده
rose to 40 and more per minute on the second day. Pulse was of low tension and feeble and his general condition could be described as very low. Nothing abnormal was detected in the heart except that the sounds were feeble showing myocardial weakness. No abnormality was detected in the lungs. The spleen was not palpable. Considering the history of his having had dysentery before and the painful and tender swelling in the liver area it was diagnosed as a case of tropical abscess of the liver. His stool however did not show any Entamoeba histolytica under the microscope. On aspiration of the swelling only a little blood and serum came out without any actual pus and this was sent to the laboratory for examination. As the patient's condition was very low nothing more could be done except to support the heart with strychnine and digitalin and camphor in oil. Only ^ gr. of emetine was injected intramuscularly on the first day of admission. The patient expired on the 5th day, i.e. on the 7th January, 1944. As a result of aspiration it was thought that the case was not one of tropical liver abscess and as such a post mortem was decided upon. As permission could not be obtained from the relatives of the deceased a hurried partial postmortem only could be done. The liver was found to be enlarged and studded with multiple small and large caseous nodules with necrosis. The naked-eye appearance of the liver gave
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