Department of Clinical Microbiology and Infection Control, Gleneagles Global Hospitals, Hyderabad, 500004, Telangana, India.
Department of Surgical Gastroenterology, Gleneagles Global Hospitals, Hyderabad, 500004, Telangana, India.
Indian J Med Microbiol. 2021 Apr;39(2):249-251. doi: 10.1016/j.ijmmb.2021.03.023. Epub 2021 Apr 21.
We report a case of melioidosis in an alcoholic and diabetic male patient presenting with multiple hepatic and splenic abscesses. Melioidosis is caused by an environmental bacterium Burkholderia pseudomallei. The clinical manifestations vary from asymptomatic infection to fulminant septic shock with abscesses in multiple internal organs. The treatment is prolonged with parenteral antibiotics in intensive phase followed by oral antibiotics in eradication phase till disease resolution. Due to varied clinical presentations, high index of suspicion coupled with adequate laboratory support is essential for rapid diagnosis and prompt initiation of optimal antibiotic therapy.
我们报告了一例酒精性和糖尿病男性患者的类鼻疽病例，该患者表现为多个肝和脾脓肿。类鼻疽是由环境细菌伯克霍尔德菌引起的。临床表现从无症状感染到伴有多个内脏器官脓肿的暴发性败血性休克不等。治疗包括强化期的静脉内抗生素治疗和清除期的口服抗生素治疗，直至疾病痊愈。由于临床表现多样，高度怀疑并结合充分的实验室支持对于快速诊断和及时开始最佳抗生素治疗至关重要。
