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Visceral abscess in melioidosis.
J Med Assoc Thai. 1995 May; 78(5):225-31.JM

Abstract

A retrospective analysis was done in 81 patients with visceral abscess due to melioidosis treated at Khon Kaen Hospital, northeastern Thailand from 1985 to 1993. The clinical presentations were fever 100 per cent, abdominal pain 39 per cent, cough 34.8 per cent, abdominal tenderness 27.5 per cent and palpable mass 24.6 per cent. The laboratory findings were not diagnostic of the etiology. The abscesses were detected by ultrasonography in 97.25 per cent and computed tomography 2.25 per cent. The lesions were found in the spleen 72.8 per cent, liver 45.7 per cent, kidney 12.3 per cent and prostate gland 2.5 per cent. Seventy-six per cent of the patients had diseases in multiple organs (viscera, lungs and others). The preliminary diagnoses were fever of unknown origin, septicemia and urinary tract diseases in one-half of the cases. Patients presenting with fever of unknown origin from an endemic area, like northeastern Thailand, should arouse suspicion of melioidosis and search for the organism is advised. Diagnostic imaging methods, ultrasonography and computed tomography are valuable tools for detection of a solid internal organ abscess.

Authors+Show Affiliations

Department of Radiology, Khon Kaen Hospital, Thailand.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7561544

Citation

Dhiensiri, T, and Y Eua-Ananta. "Visceral Abscess in Melioidosis." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 78, no. 5, 1995, pp. 225-31.
Dhiensiri T, Eua-Ananta Y. Visceral abscess in melioidosis. J Med Assoc Thai. 1995;78(5):225-31.
Dhiensiri, T., & Eua-Ananta, Y. (1995). Visceral abscess in melioidosis. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 78(5), 225-31.
Dhiensiri T, Eua-Ananta Y. Visceral Abscess in Melioidosis. J Med Assoc Thai. 1995;78(5):225-31. PubMed PMID: 7561544.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visceral abscess in melioidosis. AU - Dhiensiri,T, AU - Eua-Ananta,Y, PY - 1995/5/1/pubmed PY - 1995/5/1/medline PY - 1995/5/1/entrez SP - 225 EP - 31 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 78 IS - 5 N2 - A retrospective analysis was done in 81 patients with visceral abscess due to melioidosis treated at Khon Kaen Hospital, northeastern Thailand from 1985 to 1993. The clinical presentations were fever 100 per cent, abdominal pain 39 per cent, cough 34.8 per cent, abdominal tenderness 27.5 per cent and palpable mass 24.6 per cent. The laboratory findings were not diagnostic of the etiology. The abscesses were detected by ultrasonography in 97.25 per cent and computed tomography 2.25 per cent. The lesions were found in the spleen 72.8 per cent, liver 45.7 per cent, kidney 12.3 per cent and prostate gland 2.5 per cent. Seventy-six per cent of the patients had diseases in multiple organs (viscera, lungs and others). The preliminary diagnoses were fever of unknown origin, septicemia and urinary tract diseases in one-half of the cases. Patients presenting with fever of unknown origin from an endemic area, like northeastern Thailand, should arouse suspicion of melioidosis and search for the organism is advised. Diagnostic imaging methods, ultrasonography and computed tomography are valuable tools for detection of a solid internal organ abscess. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/7561544/Visceral_abscess_in_melioidosis_ L2 - https://medlineplus.gov/abscess.html DB - PRIME DP - Unbound Medicine ER -