Publication: Prospective observational study of the frequency and features of intra-abdominal abscesses in patients with melioidosis in northeast Thailand
Issued Date
2012-10-01
Resource Type
ISSN
18783503
00359203
00359203
Other identifier(s)
2-s2.0-84866001481
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.106, No.10 (2012), 629-631
Suggested Citation
Rapeephan R. Maude, Teerapon Vatcharapreechasakul, Pitchayanant Ariyaprasert, Richard J. Maude, Maliwan Hongsuwan, Prayoon Yuentrakul, Direk Limmathurotsakul, Gavin C K W Koh, Wipada Chaowagul, Nicholas P J Day, Sharon J. Peacock Prospective observational study of the frequency and features of intra-abdominal abscesses in patients with melioidosis in northeast Thailand. Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.106, No.10 (2012), 629-631. doi:10.1016/j.trstmh.2012.05.007 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/14262
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Title
Prospective observational study of the frequency and features of intra-abdominal abscesses in patients with melioidosis in northeast Thailand
Abstract
Retrospective case series from Thailand have reported the presence of intra-abdominal abscesses in around half of patients with melioidosis, a much higher rate than our clinical experience would suggest. We performed a prospective, observational study of 230 adult patients with culture-confirmed melioidosis in which all patients underwent abdominal ultrasound. One or more abscesses were detected in the liver and/or spleen in 77 (33%) cases. These were often multiple (70%, 31/44 in hepatic abscesses and 88%, 50/57 in splenic abscesses) and clinically silent (27% of cases with abscesses presenting with abdominal pain). The mortality rate at 4 weeks post-discharge was lower in patients who were abscess-positive vs abscess-negative (10%, 8/77 vs 20%, 31/153). © 2012 Royal Society of Tropical Medicine and Hygiene.
