Hepatosplenic melioidosis

Case contributed by Dr Ian Bickle

Presentation

15 year-old girl with fever and right upper quadrant pain

Patient Data

Age: 15
Gender: Female
Ultrasound
Large low echogenicity lesion in the right lobe of liver, with minimal liquid component and multiple small well defined low echogenicity lesions in the spleen.
CT
Multiple lesions in both the liver and spleen, those in the liver having multiple septae and a honeycomb appearance, in keeping with multifocal abscesses.

Case Discussion

The appearances are typical of hepatosplenic melioidosis.

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Case information

rID: 21479
Case created: 25th Jan 2013
Last edited: 7th Feb 2016
Inclusion in quiz mode: Included

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