title: HEPATIC LYMPHOMA AND SPLENIC ASPERGILLOSIS MIMICKING HEPATOSPLENIC ABSCESSES FROM MELIOIDOSIS IN THAILAND.
abstract: We report here a case of hepatic lymphoma and splenic aspergillosis in an elderly patient with diabetes mellitus, exhibiting hepatosplenic abscesses mimicking melioidosis. Immunohistochemistry confirmed the diagnosis of a diffuse hepatic large B-cell lymphoma. Biopsy of the spleen revealed a clump of fungus with a slender shape and dichotomous branching, morphologically consistent with aspergillosis. Hepatosplenic abscesses are a common presentation in melioidosis, but this case reveals this assumption can lead to misdiagnosis. Histological and microbiological confirmation are required, especially in patients with hepatosplenic lesions.
authors.forename: Kittiyod
authors.initials: K
authors.lastname: Poovorawan
authors.forename: Aung Myint
authors.initials: AM
authors.lastname: Thu
authors.forename: Maleerat
authors.initials: M
authors.lastname: Sutherat
authors.forename: Weerapong
authors.initials: W
authors.lastname: Phumratanaprapin
authors.forename: Naruemon
authors.initials: N
authors.lastname: Wisedopas
authors.forename: Viravarn
authors.initials: V
authors.lastname: Luvira
authors.forename: Wirongrong
authors.initials: W
authors.lastname: Chierakul
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000469:parasitology; D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D008107:Liver Diseases / Q000175:diagnosis* / Q000469:parasitology; D008113:Liver Neoplasms / Q000175:diagnosis*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis*; D008297:Male; D008554:Melioidosis / Q000175:diagnosis*; D013158:Splenic Diseases / Q000175:diagnosis*; D013785:Thailand