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Intra-Abdominal Melioidosis Masquerading as a Tubercular Abdomen: Report of a Rare Case and Literature Review.
MedLine Citation:
PMID:  23581631     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Background: Melioidosis, caused by Burkholderia pseudomallei, an important human pathogen in tropical regions, has protean multi-system clinical manifestations. Methods: Case report and review of pertinent English-language literature. Results: A 33-year-old male, who had been treated for pulmonary tuberculosis and multiple splenic abscesses four years previously, presented with a five-day history of acute-onset high-grade fever, abdominal pain and distension, and dyspnea. Laparotomy and drainage was done for paraumbilical abdominal wall abscess. Omentectomy was performed because the omentum was infarcted and studded with tubercles. Pus culture was positive for B. pseudomallei. The patient developed septic shock and succumbed on the fifth day after surgery. Conclusion: This report emphasizes an unusual presentation of melioidosis and the diagnostic challenge posed by its clinical similarity to tuberculosis.
Authors:
Raghavan Velayutham Sugi Subramaniam; Vilvapathy Senguttuvan Karthikeyan; Sarath Chandra Sistla; Sheik Manwar Ali; Sujatha Sistla; Nandhagopal Vijayaraghavan; Duvuru Ram
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-4-12
Journal Detail:
Title:  Surgical infections     Volume:  -     ISSN:  1557-8674     ISO Abbreviation:  Surg Infect (Larchmt)     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-4-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815642     Medline TA:  Surg Infect (Larchmt)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry, India .
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