MJHID Educational Clinical Cases
Vol. 18 No. 1 (2026): Mediterranean Journal of Hematology and Infectious Diseases
Persistent Fever and Splenic Abscess-like Lesions: A Diagnostic Trap in a Young Adult
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: September 1, 2026
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A 31-year-old Malay man presented with fever, weight loss, and non-productive cough. Initial examination revealed splenomegaly without lymphadenopathy. He was treated empirically for respiratory tract infection and subsequent suspected melioidosis splenic abscesses with prolonged, escalating antibiotic courses, but fever persisted.
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Citations
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Ethics Approval
Hodgkin lymphoma; fever of unknown origin; splenic abscess; melioidosis; diagnostic delay; splenomegaly; miliary splenic lesions; pancytopenia; bone marrow trephine biopsy; CD30; tropical infections; MalaysiaSupporting Agencies
The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.How to Cite
“Persistent Fever and Splenic Abscess-like Lesions: A Diagnostic Trap in a Young Adult” (2026) Mediterranean Journal of Hematology and Infectious Diseases, 18(1), p. e2026063. doi:10.4084/MJHID.2026.063.
Copyright (c) 2026 Chu Ee Seow, Siti Nur Atiqah Alwi, Nor Syazana Jamali, Sukanya Banerjee Nair
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
