Journal of Family Medicine and Primary Care

CASE REPORT
Year
: 2018  |  Volume : 7  |  Issue : 1  |  Page : 271--273

Splenic granuloma: Melioidosis or Tuberculosis?


Fibi Ninan, Ajay Kumar Mishra, Ajoy Oommen John, Ramya Iyadurai 
 Department of General Medicine, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. Fibi Ninan
Department of General Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu
India

Melioidosis well known as a 'great mimicker' is caused by Burkholderia pseudomallei. Even though majority of the patients present with acute infection, around 18 % can present as chronic infection. These latent foci of infection may reactivate to cause fulminant infection at a later date. Due to lack of clinical suspicion and good laboratory facility latent infections are often misdiagnosed and treated as tuberculosis. Chronic splenic granuloma is a rare manifestation of Melioidosis . Deep seated abscess requires atleast 4 weeks of intensive treatment with intravenous antibiotics. Ceftazidime , the drug of choice for melioidosis can cause drug induced thrombocytopenia. Simultaneous use of diclofenac may potentiate this phenomenon. Treatment with meropenem may be life saving in such situitations.


How to cite this article:
Ninan F, Mishra AK, John AO, Iyadurai R. Splenic granuloma: Melioidosis or Tuberculosis?.J Family Med Prim Care 2018;7:271-273


How to cite this URL:
Ninan F, Mishra AK, John AO, Iyadurai R. Splenic granuloma: Melioidosis or Tuberculosis?. J Family Med Prim Care [serial online] 2018 [cited 2021 Apr 16 ];7:271-273
Available from: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=1;spage=271;epage=273;aulast=Ninan;type=0