Pal P, Ray S, Moulick A, Dey S, Jana A, Banerjee K. Liver abscess caused by Burkholderia pseudomallei in a young man: A case report and review of literature. World J Clin Cases 2014; 2(10): 604-607 [PMID: 25325075 DOI: 10.12998/wjcc.v2.i10.604]
Corresponding Author of This Article
Dr. Sayantan Ray, Department of Endocrinology, IPGMER and SSKM Hospital, 244, AJC Bose Road, Kolkata 700020, West Bengal, India. sayantan.ray30@gmail.com
Research Domain of This Article
Infectious Diseases
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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Partha Pal, Avijit Moulick, Subhasis Dey, Department of General Medicine, Calcutta National Medical College and Hospital, Kolkata 700014, West Bengal, India
Sayantan Ray, Department of Endocrinology, IPGMER and SSKM Hospital, Kolkata 700020, West Bengal, India
Anirban Jana, Department of General Medicine, Bankura Sammilani Medical College and Hospital, Bankura 722101, West Bengal, India
Kokila Banerjee, Department of Microbiology, Drs. Tribedi and Roy Diagnostic Laboratory, Kolkata 700016, West Bengal, India
Author contributions: Pal P, Ray S and Moulick A contributed to conception and design; Pal P, Dey S and Jana A contributed to drafting of the article; Dey S and Jana A contributed to literature search; Ray S and Banerjee K contributed to analysis and interpretation of data; Ray S, Moulick A and Banerjee K contributed to critical revision of the article for important intellectual content; all the authors give final approval of the article.
Correspondence to: Dr. Sayantan Ray, Department of Endocrinology, IPGMER and SSKM Hospital, 244, AJC Bose Road, Kolkata 700020, West Bengal, India. sayantan.ray30@gmail.com
Telephone: +91-923-1674135 Fax: +91-923-1674135
Received: February 17, 2014 Revised: June 14, 2014 Accepted: July 25, 2014 Published online: October 16, 2014 Processing time: 240 Days and 17.6 Hours
Core Tip
Core tip: Liver abscess due to Burkholderia pseudomallei (B. pseudomallei) is extremely rare and is mostly reported from Taiwan. In India, most of the reports of are from southern coastal India and this entity is exceedingly rare in eastern India. The actual magnitude of this emerging infection may be under reported due to non-availability of confirmatory tests. Accurate diagnosis is necessary as outcome is fatal with ineffective treatment. We report a case of multiple liver abscesses caused by B. pseudomallei in a 29-year-old diabetic male, who was referred as a case of recurrence of pyogenic liver abscess which was previously caused by pseudomonas not responding to antibiotic therapy and aspiration. Diagnosis was made by imaging and culture of aspirated pus revealed B. pseudomallei and he was treated successfully with surgical drainage and prolonged course of intravenous and oral antibiotics. So, in a case of pyogenic liver abscess not responding to conventional antibiotics, B. pseudomallei should always be thought as a possibility which can be identified by its characteristic appearance on culture and microscopy or direct immunofluorescence testing as well as unique imaging features.
