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We report here a case of hepatic lymphoma and splenic aspergillosis in an elderly patient with diabetes mellitus, exhibiting hepatosplenic abscesses mimicking melioidosis. Immunohistochemistry confirmed the diagnosis of a diffuse hepatic large B-cell lymphoma. Biopsy of the spleen revealed a clump of fungus with a slender shape and dichotomous branching, morphologically consistent with aspergillosis. Hepatosplenic abscesses are a common presentation in melioidosis, but this case reveals this assumption can lead to misdiagnosis. Histological and microbiological confirmation are required, especially in patients with hepatosplenic lesions.


Journal article


The Southeast Asian journal of tropical medicine and public health

Publication Date





223 - 226


Humans, Melioidosis, Abscess, Aspergillosis, Liver Neoplasms, Liver Diseases, Splenic Diseases, Diagnosis, Differential, Immunohistochemistry, Fatal Outcome, Aged, Thailand, Male, Lymphoma, Large B-Cell, Diffuse