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Non-septicemic Burkholderia pseudomallei liver abscess in a young man.
J Microbiol Immunol Infect. 2004 Aug; 37(4):254-7.JM

Abstract

Melioidosis, caused by Burkholderia pseudomallei, has been increasingly recognized in Taiwan recently. Its isolation in liver abscess is rare compared to pulmonary melioidosis. We report a case of liver abscess due to B. pseudomallei in an immunocompetent 27-year-old male soldier admitted due to fever, sore throat and mild non-productive cough for 1 week. Physical examination was unremarkable except for congestion of the pharyngeal wall, moderate enlargement of the tonsils without pus coating, and palpable tender lymphadenopathy over bilateral submental regions. Antibiotic treatment with cefazolin 1 g every 8 hours intravenously was given without response. Left flank pain, followed by right flank pain associated with epigastric tenderness developed. Sonography and computed tomography scan of the abdomen demonstrated liver abscess. Aspiration of the liver abscess was performed and abscess culture yielded B. pseudomallei. Treatment with ceftazidime 2 g every 8 hours intravenously (4 weeks' duration) followed by oral regimens of amoxicillin-clavulanate was given. The patient was free of symptoms at 8 months' follow-up. Early awareness and definite diagnosis as well as institution of proper antimicrobial agents are imperative for successful treatment of melioidosis.

Authors+Show Affiliations

Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Military General Hospital, Kaohsiung, Taiwan, ROC. m9121304@student.nsysu.edu.twNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15340656

Citation

Ben, Ren-Jy, et al. "Non-septicemic Burkholderia Pseudomallei Liver Abscess in a Young Man." Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi, vol. 37, no. 4, 2004, pp. 254-7.
Ben RJ, Tsai YY, Chen JC, et al. Non-septicemic Burkholderia pseudomallei liver abscess in a young man. J Microbiol Immunol Infect. 2004;37(4):254-7.
Ben, R. J., Tsai, Y. Y., Chen, J. C., & Feng, N. H. (2004). Non-septicemic Burkholderia pseudomallei liver abscess in a young man. Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi, 37(4), 254-7.
Ben RJ, et al. Non-septicemic Burkholderia Pseudomallei Liver Abscess in a Young Man. J Microbiol Immunol Infect. 2004;37(4):254-7. PubMed PMID: 15340656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-septicemic Burkholderia pseudomallei liver abscess in a young man. AU - Ben,Ren-Jy, AU - Tsai,Yuh-Yuan, AU - Chen,Jyh-Ching, AU - Feng,Nan-Hsiung, PY - 2004/9/2/pubmed PY - 2004/11/5/medline PY - 2004/9/2/entrez SP - 254 EP - 7 JF - Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi JO - J Microbiol Immunol Infect VL - 37 IS - 4 N2 - Melioidosis, caused by Burkholderia pseudomallei, has been increasingly recognized in Taiwan recently. Its isolation in liver abscess is rare compared to pulmonary melioidosis. We report a case of liver abscess due to B. pseudomallei in an immunocompetent 27-year-old male soldier admitted due to fever, sore throat and mild non-productive cough for 1 week. Physical examination was unremarkable except for congestion of the pharyngeal wall, moderate enlargement of the tonsils without pus coating, and palpable tender lymphadenopathy over bilateral submental regions. Antibiotic treatment with cefazolin 1 g every 8 hours intravenously was given without response. Left flank pain, followed by right flank pain associated with epigastric tenderness developed. Sonography and computed tomography scan of the abdomen demonstrated liver abscess. Aspiration of the liver abscess was performed and abscess culture yielded B. pseudomallei. Treatment with ceftazidime 2 g every 8 hours intravenously (4 weeks' duration) followed by oral regimens of amoxicillin-clavulanate was given. The patient was free of symptoms at 8 months' follow-up. Early awareness and definite diagnosis as well as institution of proper antimicrobial agents are imperative for successful treatment of melioidosis. SN - 1684-1182 UR - https://www.unboundmedicine.com/medline/citation/15340656/Non_septicemic_Burkholderia_pseudomallei_liver_abscess_in_a_young_man_ DB - PRIME DP - Unbound Medicine ER -