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Melioidosis of Liver Presenting as Hepatocutanaeous Fistula: A Case Report

Rajeev Ranjan , Rajeev Ranjan , Sudhir Kumar , Shailesh Kumar , Namrata Kumari , Anima Xess , S.K. Shahi

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New Indian Journal of Surgery 3(3):p 230-230, July - September 2012. | DOI:

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Abstract

  Melioidosis is an emerging infection in India caused by gram negative non -fermentative Burkholderia pseudomallei. This bacteria is also known as Vietanami timebomb or remarkable imitator. Infection may be acute or chronic, localised or disseminated. Several reviews have summarized the clinical manifestation of meliodiosis as mild and sub clinical infection, latent infection, clinical disease either septicaemic or localised. Up to 80% of cases have underlying disease, most frequently diabetes mellitus. It may involve any system of the body namely lung, liver, spleen, kidney, prostate, bone and joints. Visceral abscess is one of the most common presentation in melidiosis specially splenic involvement.
 

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