Rapeephan R. MaudeTeerapon VatcharapreechasakulPitchayanant AriyaprasertRichard J. MaudeMaliwan HongsuwanPrayoon YuentrakulDirek LimmathurotsakulGavin C K W KohWipada ChaowagulNicholas P J DaySharon J. PeacockMahidol UniversitySappasitthiprasong HospitalNuffield Department of Clinical MedicineUniversity of Cambridge2018-06-112018-06-112012-10-01Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.106, No.10 (2012), 629-63118783503003592032-s2.0-84866001481https://repository.li.mahidol.ac.th/handle/20.500.14594/14262Retrospective 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.Mahidol UniversityImmunology and MicrobiologyMedicineProspective observational study of the frequency and features of intra-abdominal abscesses in patients with melioidosis in northeast ThailandArticleSCOPUS10.1016/j.trstmh.2012.05.007