RESUMO
Background : Meliodosis is an infection by Burkholderia Pseudomallei, is now endemic in India. It can have varied clinical manifestations. We report a case of Meliodosis in a diabetic patient presented as multiple Splenic Abcesses. Case Report : A 56-year-old male patient, manual labour, diabetic with uncontrolled glycemic levels presented with prolonged Fever and abdominal pain which on evaluation revealed multiple Splenic Abscesses. Culture of aspirate from abscess grew Burkholderia Pseudomallei. He improved with appropriate antibiotic therapy and Splenectomy. Conclusion : The case is presented to highlight the importance of making early clinical and microbiological diagnosis for a better outcome
RESUMO
Splenic abcess is a rare clinical entity with an incidence of 0.2 to 0.7 % in autopsy based studies. Untreated, a splenic abscess is associated with nearly 100% mortality. An 44 year old male was admitted with fever and fatigue for three weeks and abdominal pain for two weeks was found to have large splenic abscesses on imaging studies. Extensive workup revealed no evidence of hematogenous spread from an endovascular source, no septic emboli in other organs and no proof of local spread from an infectious origin within the abdomen.Our case introduces an unusal presentation of splenic abscess without well described pathophysiologic mechanism to support their etiology.