Splenic abscesses in a returning traveler

<em>Burkholderia</em>, an aerobic gram-negative rod, is the causative organism behind melioidosis and is a common soil and water organism found predominantly in South-East Asia. We report the case of a 68 year-old man returning from an extended trip to the Philippines, with splenic hypod...

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Bibliographic Details
Main Authors: Richard F. Guo, Frances L. Wong, Mario L. Perez
Format: Article
Language:English
Published: MDPI AG 2015-03-01
Series:Infectious Disease Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/idr/article/view/5791
Description
Summary:<em>Burkholderia</em>, an aerobic gram-negative rod, is the causative organism behind melioidosis and is a common soil and water organism found predominantly in South-East Asia. We report the case of a 68 year-old man returning from an extended trip to the Philippines, with splenic hypodense lesions on abdominal computer tomography scan, later confirmed to be culture-positive for <em>Burkholderia</em> <em>pseudomallei</em>. The patient was treated with a course of intravenous ceftazidime followed by eradication therapy with oral doxycycline and trimethoprim-sulfamethoxazole. He recovered with complete resolution of symptoms at follow up. In a returning traveler from an endemic area, melioidosis should be considered as part of the differential for any febrile illness with abscesses.
ISSN:2036-7430
2036-7449