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Melioidosis splenic abscess--an unusual presentation as osteomyelitis of rib
Y Y Tan1, T Agasthian, C H Low
1Department of Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
Introduction:
We report an unusual case of splenic melioidosis abscess presenting as osteomyelitis.
Clinical Picture:
A 74-year-old nondiabetic gentleman presents with a non-healing left chest wall abscess from osteomyelitis.
Treatment:
He underwent rib resection and the infection was found to involve the underlying pleura, lung, adjacent stomach, liver and diaphragm with a splenic abscess. Splenectomy was performed. Histology showed suppurative granulomas and cultures grew Burkholderia pseudomallei.
Outcome:
The patient recovered well with antibiotics.
Conclusion:
Melioidosis should not be forgotten as a cause of chronic suppurative infections in our endemic population.