title: Melioidosis with adrenal gland abscess.
abstract: We report a case of melioidosis with left adrenal gland abscess in a 51-year-old man from Taiwan who traveled to Rangoon, Burma for a four-day tour on July 15, 1997. The patient developed fever and left upper abdominal pain upon returning to Taiwan on July 19, 1997. Ten days after returning to Taiwan, he was admitted to Chang Gung Memorial Hospital in Keelung, Taiwan and blood culture on admission was positive for Burkholderia pseudomallei. Computerized tomography of the abdomen revealed left adrenal gland swelling and suppuration. Treatment with parenteral ceftazidime and cotrimoxazole for three weeks followed by two months of oral cotrimoxazole cured the infection. The patient remained asymptomatic at 12 months follow-up.
authors.affiliation: Division of Infectious Diseases, Chang Gung Memorial Hospital, Keelung, Taiwan, Republic of China.
authors.forename: S C
authors.initials: SC
authors.lastname: Lee
authors.forename: T S
authors.initials: TS
authors.lastname: Ling
authors.forename: J C
authors.initials: JC
authors.lastname: Chen
authors.forename: B Y
authors.initials: BY
authors.lastname: Huang
authors.forename: W B
authors.initials: WB
authors.lastname: Sheih
mesh_terms: D000038:Abscess / Q000150:complications*; D000311:Adrenal Glands / Q000473:pathology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016957:Burkholderia pseudomallei / Q000472:pathogenicity*; D002442:Ceftazidime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000150:complications* / Q000473:pathology / Q000635:transmission; D002052:Myanmar; D013624:Taiwan; D014057:Tomography, X-Ray Computed; D014195:Travel; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D002442:Ceftazidime