title: Liver abscess caused by Burkholderia pseudomallei in a young man: A case report and review of literature.
abstract: Pyogenic liver abscess is a common entity in Indian subcontinent and is mostly caused by gram negative bacteria. Melioidosis is not commonly seen in India and only a few cases are reported. It can give rise to multiple abscesses at different sites including liver. We report a case of isolated liver abscess caused by Burkholderia pseudomallei (B. pseudomallei) in a 29-year-old recently diagnosed diabetic, immunocompetent male. Diagnosis was made by imaging and culture of pus aspirated from the abscess and he was treated with percutaneous pigtail catheter drainage followed by antibiotics (meropenem and trimethoprim-sulphmethoxazole). Melioidosis is an emerging infection in India and has high mortality rate, so early diagnosis and prompt management is warranted which requires clinical vigilance and an intensive microbiological workup. Clinicians should be aware of isolated liver abscess caused by B. pseudomallei in appropriate clinical settings.
authors.affiliation: Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India.
authors.forename: Partha
authors.initials: P
authors.lastname: Pal
authors.affiliation: Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India.
authors.forename: Sayantan
authors.initials: S
authors.lastname: Ray
authors.affiliation: Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India.
authors.forename: Avijit
authors.initials: A
authors.lastname: Moulick
authors.affiliation: Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India.
authors.forename: Subhasis
authors.initials: S
authors.lastname: Dey
authors.affiliation: Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India.
authors.forename: Anirban
authors.initials: A
authors.lastname: Jana
authors.affiliation: Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India.
authors.forename: Kokila
authors.initials: K
authors.lastname: Banerjee
keywords: Burkholderia pseudomallei; Diabetes; Emerging infection; India; Liver abscess