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Splenic Abscess Due to Chronic Melioidosis in a Patient Previously Misdiagnosed As Tuberculosis

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Specialty Gastroenterology
Date 2014 Apr 10
PMID 24714690
Citations 8
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Abstract

Melioidosis is endemic in Southeast Asia and Northern Australia. Sporadic cases have been reported from many parts of the world where it has an epidemic potential with high-rate fatality cases. In non-endemic areas, melioidosis may be misdiagnosed with common diseases and this may prove fatal. Sporadic cases of melioidosis are mistaken for tuberculosis in India. We report a case of splenic abscess due to chronic melioidosis who was earlier misdiagnosed as tuberculosis and underwent anti-tuberculosis therapy. Following treatment of melioidosis his symptoms subsided. This case is reported because of the rarity of the disease and to highlight the importance of looking for melioidosis in patients with splenic abscess even in non-endemic areas.

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References
1.
Ashdown L, Johnson R, Koehler J, Cooney C . Enzyme-linked immunosorbent assay for the diagnosis of clinical and subclinical melioidosis. J Infect Dis. 1989; 160(2):253-60. DOI: 10.1093/infdis/160.2.253. View

2.
Saravu K, Mukhopadhyay C, Eshwara V, Shastry B, Ramamoorthy K, Krishna S . Melioidosis presenting with mediastinal lymphadenopathy masquerading as malignancy: a case report. J Med Case Rep. 2012; 6:28. PMC: 3295726. DOI: 10.1186/1752-1947-6-28. View

3.
Falade O, Antonarakis E, Kaul D, Saint S, Murphy P . Clinical problem-solving. Beware of first impressions. N Engl J Med. 2008; 359(6):628-34. PMC: 4007002. DOI: 10.1056/NEJMcps0708803. View

4.
Currie B, Fisher D, Howard D, Burrow J, Lo D, Selva-Nayagam S . Endemic melioidosis in tropical northern Australia: a 10-year prospective study and review of the literature. Clin Infect Dis. 2000; 31(4):981-6. DOI: 10.1086/318116. View

5.
Dance D . Melioidosis as an emerging global problem. Acta Trop. 2000; 74(2-3):115-9. DOI: 10.1016/s0001-706x(99)00059-5. View