Melioidosis: A Rare Cause of Liver Abscess
Case Presentation. This is a case of a 44-year-old male, farmer, known to be diabetic, presenting with two-week history of vague abdominal pain associated with high grade fever. Abdominal CT scan showed localized liver abscess at segment 8 measuring 7.5 × 6.8 × 6.1 cm. Patient subsequently underwent...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/5910375 |
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| author | Peter Franz M. San Martin Catherine S. C. Teh Ma. Amornetta J. Casupang |
| author_facet | Peter Franz M. San Martin Catherine S. C. Teh Ma. Amornetta J. Casupang |
| author_sort | Peter Franz M. San Martin |
| collection | DOAJ |
| description | Case Presentation. This is a case of a 44-year-old male, farmer, known to be diabetic, presenting with two-week history of vague abdominal pain associated with high grade fever. Abdominal CT scan showed localized liver abscess at segment 8 measuring 7.5 × 6.8 × 6.1 cm. Patient subsequently underwent laparoscopic ultrasound guided pigtail insertion for drainage of abscess. Culture studies showed moderate growth of Burkholderia pseudomallei in which the patient completed seven days of IV Meropenem. On follow-up after 12 weeks of oral Sulfamethoxazole/Trimethoprim, taken twice a day, the patient remained asymptomatic with no residual findings based on the abdominal ultrasound. Discussion. Diagnosis of melioidosis, a known “great masquerader,” relies heavily on culture studies. Consensus with regard to the management of liver abscess caused by Burkholderia pseudomallei has not yet been established due to the rarity of cases. Surgical intervention through either a percutaneous or open drainage has shown good outcomes compared to IV antibiotics alone. In Philippines, the possibility of underreporting is highly plausible. This write-up serves not only to report a rare presentation of melioidosis but also to add to the number of cases reported in the country, possibly indicative of disease emergence. |
| format | Article |
| id | doaj-art-cb2c9003087641ebb9b4ac7d6e7ea42b |
| institution | Kabale University |
| issn | 2090-6587 2090-6595 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-cb2c9003087641ebb9b4ac7d6e7ea42b2025-02-03T05:43:52ZengWileyCase Reports in Hepatology2090-65872090-65952016-01-01201610.1155/2016/59103755910375Melioidosis: A Rare Cause of Liver AbscessPeter Franz M. San Martin0Catherine S. C. Teh1Ma. Amornetta J. Casupang2Department of Surgery, National Kidney and Transplant Institute, East Avenue, Diliman, 1101 Quezon City, PhilippinesDepartment of Surgery, National Kidney and Transplant Institute, East Avenue, Diliman, 1101 Quezon City, PhilippinesLiver Center, National Kidney and Transplant Institute, East Avenue, Diliman, 1101 Quezon City, PhilippinesCase Presentation. This is a case of a 44-year-old male, farmer, known to be diabetic, presenting with two-week history of vague abdominal pain associated with high grade fever. Abdominal CT scan showed localized liver abscess at segment 8 measuring 7.5 × 6.8 × 6.1 cm. Patient subsequently underwent laparoscopic ultrasound guided pigtail insertion for drainage of abscess. Culture studies showed moderate growth of Burkholderia pseudomallei in which the patient completed seven days of IV Meropenem. On follow-up after 12 weeks of oral Sulfamethoxazole/Trimethoprim, taken twice a day, the patient remained asymptomatic with no residual findings based on the abdominal ultrasound. Discussion. Diagnosis of melioidosis, a known “great masquerader,” relies heavily on culture studies. Consensus with regard to the management of liver abscess caused by Burkholderia pseudomallei has not yet been established due to the rarity of cases. Surgical intervention through either a percutaneous or open drainage has shown good outcomes compared to IV antibiotics alone. In Philippines, the possibility of underreporting is highly plausible. This write-up serves not only to report a rare presentation of melioidosis but also to add to the number of cases reported in the country, possibly indicative of disease emergence.http://dx.doi.org/10.1155/2016/5910375 |
| spellingShingle | Peter Franz M. San Martin Catherine S. C. Teh Ma. Amornetta J. Casupang Melioidosis: A Rare Cause of Liver Abscess Case Reports in Hepatology |
| title | Melioidosis: A Rare Cause of Liver Abscess |
| title_full | Melioidosis: A Rare Cause of Liver Abscess |
| title_fullStr | Melioidosis: A Rare Cause of Liver Abscess |
| title_full_unstemmed | Melioidosis: A Rare Cause of Liver Abscess |
| title_short | Melioidosis: A Rare Cause of Liver Abscess |
| title_sort | melioidosis a rare cause of liver abscess |
| url | http://dx.doi.org/10.1155/2016/5910375 |
| work_keys_str_mv | AT peterfranzmsanmartin melioidosisararecauseofliverabscess AT catherinescteh melioidosisararecauseofliverabscess AT maamornettajcasupang melioidosisararecauseofliverabscess |