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A case report: Splenic abscess caused by Burkholderia pseudomallei.
Medicine (Baltimore). 2018 Jun; 97(26):e11208.M

Abstract

RATIONALE

Melioidosis is an emerging infectious disease caused by Burkholderia pseudomallei. To our knowledge, there have been very few cases of splenic abscesses due to melioidosis in Hainan, China.

PATIENT CONCERNS

The patient was a 55-year-old male farmer, who was admitted in our hospital with persistent left epigastric dull pain accompanied by chills and febrile. One month before, the patient presented with persistent abdominal pain. After received anti-infection therapy, the subjective symptoms eased slightly, but recently he suffered from intermittent abdominal pain again.

DIAGNOSES

Bacteria isolated from splenic pus were identified as B. pseudomallei by the Phoenix-100 system and indirect immunofluorescence.

INTERVENTIONS

The patient was treated by surgical excision and anti-infection therapy.

OUTCOMES

The patient was then treated with intravenous ceftazidime and oral trimethoprim-sulfamethoxazole for 2 weeks and his clinical symptoms improved.

LESSONS

In endemic areas, B. pseudomallei should be considered as a causative organism of splenic abscess in patients with established risk factors. The isolation of B. pseudomallei from abscess sites is crucial to improve clinical outcomes by appropriate antimicrobial therapy coupled with surgical drainage.

Authors+Show Affiliations

Department of Clinical Laboratory, People's Hospital of Sanya, Sanya City, Hainan Province Department of Clinical Microbiology and Immunology, College of Medical Laboratory Science, Third Military Medical University (Army Medical University), Chongqing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29952975

Citation

Chen, Hai, et al. "A Case Report: Splenic Abscess Caused By Burkholderia Pseudomallei." Medicine, vol. 97, no. 26, 2018, pp. e11208.
Chen H, Hu ZQ, Fang Y, et al. A case report: Splenic abscess caused by Burkholderia pseudomallei. Medicine (Baltimore). 2018;97(26):e11208.
Chen, H., Hu, Z. Q., Fang, Y., Lu, X. X., Li, L. D., Li, Y. L., Mao, X. H., & Li, Q. (2018). A case report: Splenic abscess caused by Burkholderia pseudomallei. Medicine, 97(26), e11208. https://doi.org/10.1097/MD.0000000000011208
Chen H, et al. A Case Report: Splenic Abscess Caused By Burkholderia Pseudomallei. Medicine (Baltimore). 2018;97(26):e11208. PubMed PMID: 29952975.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case report: Splenic abscess caused by Burkholderia pseudomallei. AU - Chen,Hai, AU - Hu,Zhi-Qiang, AU - Fang,Yao, AU - Lu,Xiao-Xue, AU - Li,Li-da, AU - Li,Yuan-Li, AU - Mao,Xu-Hu, AU - Li,Qian, PY - 2018/6/29/entrez PY - 2018/6/29/pubmed PY - 2018/7/6/medline SP - e11208 EP - e11208 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 26 N2 - RATIONALE: Melioidosis is an emerging infectious disease caused by Burkholderia pseudomallei. To our knowledge, there have been very few cases of splenic abscesses due to melioidosis in Hainan, China. PATIENT CONCERNS: The patient was a 55-year-old male farmer, who was admitted in our hospital with persistent left epigastric dull pain accompanied by chills and febrile. One month before, the patient presented with persistent abdominal pain. After received anti-infection therapy, the subjective symptoms eased slightly, but recently he suffered from intermittent abdominal pain again. DIAGNOSES: Bacteria isolated from splenic pus were identified as B. pseudomallei by the Phoenix-100 system and indirect immunofluorescence. INTERVENTIONS: The patient was treated by surgical excision and anti-infection therapy. OUTCOMES: The patient was then treated with intravenous ceftazidime and oral trimethoprim-sulfamethoxazole for 2 weeks and his clinical symptoms improved. LESSONS: In endemic areas, B. pseudomallei should be considered as a causative organism of splenic abscess in patients with established risk factors. The isolation of B. pseudomallei from abscess sites is crucial to improve clinical outcomes by appropriate antimicrobial therapy coupled with surgical drainage. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29952975/A_case_report:_Splenic_abscess_caused_by_Burkholderia_pseudomallei_ L2 - https://doi.org/10.1097/MD.0000000000011208 DB - PRIME DP - Unbound Medicine ER -