Affiliations 

  • 1 Hospital Queen Elizabeth, Infectious Disease Unit, Kota Kinabalu, Sabah, Malaysia
  • 2 Hospital Queen Elizabeth, Department of Radiology, Kota Kinabalu, Sabah, Malaysia
  • 3 Hospital Queen Elizabeth, Infectious Disease Unit, Kota Kinabalu, Sabah, Malaysia. henggee77@gmail.com
Med J Malaysia, 2021 03;76(2):251-253.
PMID: 33742639

Abstract

Melioidosis is endemic in the State of Sabah, Malaysia. We report a case of a 34-year-old man with one-week history of fever and cough, three days history of diarrhoea and vomiting, which was associated with a loss of appetite and loss of weight for one-month. Clinically, he had hepatosplenomegaly and crepitation over his right lower zone of lung. Chest radiograph showed right lower lobe consolidation. Ultrasound abdomen showed liver and splenic abscesses. Ultrasound guided drainage of splenic abscess yielded Burkholderia pseudomallei. Magnetic resonance imaging (MRI) lumbosacral confirmed right sacral intraosseous abscess after he developed back pain a week later. He received 6 weeks of intravenous antibiotics and oral co-trimoxazole, followed by 6 months oral co-trimoxazole and had full recovery.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.