Melioidosis: the great mimicker

Singh, Mandeep; Mahmood, M

doi:10.1080/20009666.2017.1348875

Cited by 19 publications

(13 citation statements)

References 10 publications

(15 reference statements)

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“…Most patients who contracted the disease have well-known predisposing factors, such as diabetes mellitus, chronic kidney disease, chronic lung disease or immunocompromised. [8] In our review, majority patients are male, 12[85.7%]. Median age was 57, ranging from 38 to 74 years old.…”

Section: Discussionmentioning

confidence: 89%

Laparoscopic approach for pancreato-splenic abscess from disseminated melioidosis: Surgical outcome and review of literature

2021

IJCR

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Melioidosis is a severe systemic infection caused by Burkholderia pseudomallei. It commonly affects the lungs, liver and kidneys. Pancreatic and splenic abscess from melioidosis is rare, with few reports in the literature. We present a series of 4 patients with disseminated melioidosis of pancreas and spleen who required surgical intervention. A MEDLINE database review was conducted. Relevant publications were evaluated and demographic data, clinical, radiological findings as well as management options were collected. We found 10 case reports describing this clinical condition. In our series, median age was 57. Median operative time 260 minutes. All four patients failed trial of antibiotic therapy and required surgery. Three underwent distal pancreatosplenectomy and one underwent splenectomy alone. Laparoscopic distal pancreatosplenectomy was successful in two patients. Median length of stay 11.5 days. No post-operative complications and mortality reported. Surgery is indicated in failed medical therapy and laparoscopic approach is safe and feasible.

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Section: Discussionmentioning

confidence: 89%

Laparoscopic approach for pancreato-splenic abscess from disseminated melioidosis: Surgical outcome and review of literature

2021

IJCR

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“…However, the most frequent presentation is septicemia and community-acquired pneumonia. [ 11 ] Affected individuals usually have well-known predisposing factors, such as diabetes mellitus, chronic lung, and renal disease, or are immunocompromised. [ 11 ] The disease is acquired from contact with contaminated soil or water through abrasions and minor cuts, as well as by the inhalation of aerosols and ingestion.…”

Section: Discussionmentioning

confidence: 99%

A case report

Chen

Yao

et al. 2018

Medicine

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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.

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“…1 Diagnosis remains a challenge, as it mimics many other conditions, especially tuberculosis, hence its other name, the 'great mimicker'. 2 Here we would like to share our experience of detecting B. pseudomallei bacillus by using paediatrics BD BACTEC bottle which to the best of our knowledge had never been reported before.…”

Section: Introductionmentioning

confidence: 95%

Cervical melioidosis: an infrequent cause of neck abscess

Azwan

Shanmugam

Teng

2020

Int J Otorhinolaryngol Head Neck Surg

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Melioidosis remains as one of the rare infectious disease with high mortality and morbidity rate. It is caused by the gram-negative bacilli Burkholderia pseudomallei found in soil and water. We would like to share our experience of four case series that had been collected in Bintulu Hospital, Sarawak over a period of eight months starting from June 2018- January 2019. A total of four patients presented with neck abscess where the pus culture and sensitivity show B. pseudomallei but the blood culture and sensitivity show no culture or growth.

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Melioidosis: the great mimicker

Cited by 19 publications

References 10 publications

Laparoscopic approach for pancreato-splenic abscess from disseminated melioidosis: Surgical outcome and review of literature

Laparoscopic approach for pancreato-splenic abscess from disseminated melioidosis: Surgical outcome and review of literature

A case report

Cervical melioidosis: an infrequent cause of neck abscess

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