Boroel-Cervantes Carlos, Ibarra-Valdez Mónica, Miranda-Pacheco Sandra, Sánchez-Camarena Elías, Wolburgth-Franco Tamara, Ortìz-González Andrés, Domínguez-Ríos José Luis
Servicio de Infectología, Hospital General de Zona 14, Instituto Mexicano del Seguro Social, Hermosillo, Sonora, México.
Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):257-259.
The melioidosis, is an infection caused by Burkhordelia pseudomallei that comprises heterogeneous clinical syndromes with acute or chronic evolution. The objective of this article is to report a case with unusual presentation and outside the known epidemiological context. We present the case of a 48-year-old man who came to our hospital with fever and a history of an abscess in the right subscapular region, physical examination showed hepatomegaly, splenomegaly, fever, without pulmonary symptoms. Within study it reveal multiple abscesses in liver and spleen, requiring surgical exploration and antibiotics (meropenem/vancomycin). Blood cultures reveal Burkhordelia pseudomallei adding trimethoprim/sulfamethoxazole with resolution of symptoms.
类鼻疽是由类鼻疽伯克霍尔德菌引起的一种感染，包括具有急性或慢性病程的异质性临床综合征。本文的目的是报告一例表现不寻常且超出已知流行病学背景的病例。我们介绍一名48岁男性的病例，他因发热和右肩胛下区域有脓肿病史前来我院就诊，体格检查显示肝肿大、脾肿大、发热，无肺部症状。在研究中发现肝脏和脾脏有多个脓肿，需要进行手术探查并使用抗生素（美罗培南/万古霉素）。血培养发现类鼻疽伯克霍尔德菌，加用甲氧苄啶/磺胺甲恶唑后症状缓解。
