Hepatosplenic abscess due to Burkholderia pseudomallei-a retrospective review of nineteen cases from a tertiary care centre in South India

Spleen and liver are the most commonly affected extrapulmonary visceral organs in melioidosis. We present the clinical features and outcome of nineteen cases of hepatosplenic abscess due to Burkholderia pseudomallei reported between 2015 and 2023. Isolated liver abscess, isolated splenic involvement and concurrent liver and spleen abscess were seen in 5 (26 %), 7 (37 %) and 7 (37 %) patients correspondingly. Honeycomb sign was seen in 10 (83 %) patients with liver abscess. Splenic involvement in the form multiple microabscesses was seen in 4 (29 %) patients and multiple larger discrete and coalescent abscesses in 10 (71 %) patients. Seventeen patients recovered with treatment.