A 33 year old weaver was admitted with history of fever and dysuria for past 5 days.. He gave history of recurrent urinary tract infection (UTI) for the past one year. On evaluation he had moderate splenomegaly and multiple visceral abscesses involving right kidney, left adrenal, spleen and prostate. Blood and urine cultures were negative, TRUS guided biopsy grew E.coli and PCR was positive for melioidosis. Patient was treated ceftazidime followed by trimethoprim sulphadoxazole for 3months and oral fosfomycin for E.coli. Patient improved clinically and radiologically with regression of abscesses and no recurrence of UTI till date.

Keywords: melioidosis, PCR, visceral abscesses.

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Dr Archa Anna Anil

Final year Resident in the Department of General Medicine, Sri Ramachandra Medical College and Research Institute, Chennai