Hepatic melioidosis

Discussion:

Melioidosis is an infectious disease caused by Burkholderia pseudomallei (previously known as Pseudomonas pseudomallei).

It is a multisystem infection, however has a penchant for the liver and spleen.

Appearances can range from a large 'honeycomb' type abscess to a multitude of microabscesses.

In the liver abscess are largely solid, with those measuring more than 4cm often having a distinct septated appearance like honeycomb.

This is important from a management perspective as virtually all are not amendable to percutaneous drainage.

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