Unusual presentations of abdominal melioidosis

Autor: Vignesh Kumar Mohan, Komalavalli Rajesh, Sripriya Srinivas, R Ravi, Jimmy Prabhakaran, K Srinivasan, Subha Sundaramoorthy
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Global Infectious Diseases, Vol 13, Iss 1, Pp 52-55 (2021)
Druh dokumentu: article
ISSN: 0974-777X
DOI: 10.4103/jgid.jgid_129_20
Popis: Melioidosis is an endemic bacterial infection caused by soil saprophyte, Burkholderia pseudomallei. It infects adults with risk factors or immunosuppressed and exposed to moist soil. Its significance lies in its varied clinical presentation and high mortality (40%). We present two cases of abdominal melioidosis with unusual clinical presentations. The first case presented with intractable hiccups and had isolated splenic melioidosis with contained rupture. The second case presented with fever and acute abdominal pain found to have pancreatic melioidosis and splenic vein thrombosis. Both the patients were treated with IV antibiotics and subsequently discharged after improvement in symptoms. The imaging findings of isolated type of melioidosis can mimic various other infections and granulomatous disease. Hence high index of clinical suspicion for patients presenting from endemic areas will narrow down the differential diagnosis.
Databáze: Directory of Open Access Journals
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