Utilization of Point-of-Care Ultrasound to Detect Splenic Microabscesses in Pediatric Melioidosis.

Teeranai Sakulchit, Louise Ngu, Yek Kee Chor, Gene Y Ong
Author Information
  1. Teeranai Sakulchit: Department of Emergency Medicine, Songklanagarind Hospital, Prince of Songkla University, Hatyai, THA.
  2. Louise Ngu: Department of Pediatrics, Sarawak General Hospital, Sarawak, MYS.
  3. Yek Kee Chor: Department of Pediatrics, Sarawak General Hospital, Sarawak, MYS.
  4. Gene Y Ong: Children's Emergency, KK Women's and Children's Hospital, Singapore, SGP.

Abstract

Melioidosis is an infectious disease most commonly found in places with tropical climates. Definitive diagnosis can be confirmed by culture or pathological results of blood or infected organ. However, imaging study is helpful in providing early provisional diagnosis and guiding therapy. Point-of-care ultrasound can be currently performed bedside by non-radiological staff such as emergency physicians or intensivists. We present the case of a pediatric patient who got diagnosed with melioidosis after detection of multiple splenic and hepatic abscesses by point-of-care ultrasound, leading to early diagnosis and appropriate empirical antibiotic selection, resulting in good treatment outcome.

Keywords

References

  1. Br J Radiol. 2009 Jun;82(978):514-21 [PMID: 19098086]
  2. West J Emerg Med. 2020 Jul 02;21(4):1008-1016 [PMID: 32726276]
  3. J Infect Dev Ctries. 2019 Feb 28;13(2):149-153 [PMID: 32036350]
  4. Pediatr Emerg Care. 2018 Jul;34(7):518-523 [PMID: 29965821]
  5. Pediatr Infect Dis J. 2018 Jul;37(7):637-642 [PMID: 29278611]
  6. Saudi J Med Med Sci. 2016 May-Aug;4(2):74-78 [PMID: 30787702]
  7. Asian Pac J Trop Med. 2016 Mar;9(3):256-60 [PMID: 26972397]
  8. Lancet. 2003 May 17;361(9370):1715-22 [PMID: 12767750]
  9. Acad Emerg Med. 2017 May;24(5):523-551 [PMID: 28214369]
  10. PLoS Negl Trop Dis. 2017 Jun 9;11(6):e0005650 [PMID: 28599008]
  11. Pediatr Infect Dis J. 2014 Jul;33(7):770-1 [PMID: 24732448]
  12. Trans R Soc Trop Med Hyg. 2012 Oct;106(10):629-31 [PMID: 22770892]
  13. Ann Acad Med Singap. 2008 Sep;37(9):749-52 [PMID: 18989490]
  14. J Med Imaging Radiat Oncol. 2011 Apr;55(2):176-82 [PMID: 21501407]
  15. Acad Emerg Med. 2014 Feb;21(2):163-70 [PMID: 24673672]

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