Sakulchit Teeranai, Ngu Louise, Chor Yek Kee, Ong Gene Y
Department of Emergency Medicine, Songklanagarind Hospital, Prince of Songkla University, Hatyai, THA.
Department of Pediatrics, Sarawak General Hospital, Sarawak, MYS.
Cureus. 2021 Mar 8;13(3):e13760. doi: 10.7759/cureus.13760.
Melioidosis is an infectious disease most commonly found in places with tropical climates. Definitive diagnosis can be confirmed by culture or pathological results of blood or infected organ. However, imaging study is helpful in providing early provisional diagnosis and guiding therapy. Point-of-care ultrasound can be currently performed bedside by non-radiological staff such as emergency physicians or intensivists. We present the case of a pediatric patient who got diagnosed with melioidosis after detection of multiple splenic and hepatic abscesses by point-of-care ultrasound, leading to early diagnosis and appropriate empirical antibiotic selection, resulting in good treatment outcome.
类鼻疽是一种最常见于热带气候地区的传染病。通过血液或感染器官的培养或病理结果可确诊。然而，影像学检查有助于早期初步诊断并指导治疗。目前，即时超声检查可由急诊医生或重症监护医生等非放射科工作人员在床边进行。我们报告了一例儿科患者的病例，该患者通过即时超声检查发现多个脾脏和肝脏脓肿后被诊断为类鼻疽，从而实现了早期诊断和适当的经验性抗生素选择，取得了良好的治疗效果。
