Liver abscess caused by Burkholderia pseudomallei in a young man: A case report and review of literature

被引：2

作者：

Partha Pal ^{[1
]}

Sayantan Ray ^{[2
]}

Avijit Moulick ^{[1
]}

Subhasis Dey ^{[1
]}

Anirban Jana ^{[3
]}

Kokila Banerjee ^{[4
]}

机构：

[1] Department of General Medicine, Calcutta National Medical College and Hospital

[2] Department of Endocrinology, IPGMER and SSKM Hospital

[3] Department of General Medicine, Bankura Sammilani Medical College and Hospital

[4] Department of Microbiology, Drs. Tribedi and Roy Diagnostic Laboratory

来源：

World Journal of Clinical Cases | 2014年 / 10期

关键词：

Liver abscess; Diabetes; Burkholderia pseudomallei; Emerging infection; India;

D O I：

暂无

中图分类号：

R575.4 [肝脓肿];

学科分类号：

1002 ; 100201 ;

摘要：

Pyogenic liver abscess is a common entity in Indian subcontinent and is mostly caused by gram negative bacteria. Melioidosis is not commonly seen in India and only a few cases are reported. It can give rise to multiple abscesses at different sites including liver. We report a case of isolated liver abscess caused by Burkholderia pseudomallei(B. pseudomallei) in a 29-yearold recently diagnosed diabetic, immunocompetent male. Diagnosis was made by imaging and culture of pus aspirated from the abscess and he was treated with percutaneous pigtail catheter drainage followed by antibiotics(meropenem and trimethoprim-sulphmethoxazole). Melioidosis is an emerging infection in India and has high mortality rate, so early diagnosis and promptmanagement is warranted which requires clinical vigilance and an intensive microbiological workup. Clinicians should be aware of isolated liver abscess caused by B. pseudomallei in appropriate clinical settings.

引用

页码：604 / 607

页数：4

共 18 条

[1]

Susceptibility of Pseudomonas pseudomallei to some newer beta-lactam antibiotics and antibiotic combinations using time-kill studies. Smith M D,Wuthiekanun V,Walsh A L,White N J. The Journal of antimicrobial chemotherapy . 1994

[2]

Hepatic Abscess Changes in Etiology, Diagnosis, and Management[J] . GENE D. BRANUM,GEORGE S. TYSON,MARY A. BRANUM,WILLIAM C. MEYERS. &nbspAnnals of Surgery . 1990 (6)

[3]

Pyogenic Hepatic Abscess: Changing Trends Over 42 Years[J] . Chih-Jen Huang,Henry A. Pitt,Pamela A. Lipsett,Floyd A. Osterman,Keith D. Lillemoe,John L. Cameron,George D. Zuidema. &nbspAnnals of Surgery . 1996 (5)

[4] Melioidosis [J].

White, NJ .

LANCET, 2003, 361 (9370) :1715-1722

[5] Pyogenic liver abscess caused by Burkhoderia pseudomallei in Taiwan [J].

Lee, Yu-Lin ;

Lee, Susan Shin-Jung ;

Tsai, Hung-Chin ;

Chen, Yao-Shen ;

Wann, Shue-Ren ;

Kao, Chih-Hsiang ;

Liu, Yung-Ching .

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION, 2006, 105 (08) :689-693

[6]

Computed Tomography Characteristics of Burkholderia pseudomallei Liver Abscess. Apisarnthanarak Anucha,Apisarnthanarak Piyaporn,M. Mundy Linda. Clinical Infectious Diseases . 2006

[7]

Infections Due to Pseudomonas Species and Related Organisms. Ramphal R. Harrison’’s Principles of Internal Medicine . 2012

[8]

Septicaemic melioidosis in a tertiary care hospital in south India. Jesudason Mary V,Anbarasu Anand,John T Jacob. The Indian journal of medical research . 2003

[9]

Burkholderia pseudomallei in a case of hepatic abscess. Sengupta S,Murthy R,Kumari GR,Rahana K,Vidhyasagar S,Bhat BKS,Shivananda PG. Indian J Med Microbiol . 1998

[10]

[Liver melioidosis:case report and literature review]. Wang CZ,Hung MZ. Taiwan Med J . 2004

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