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[Salmonella enteritidis splenic abscess complicating a Plasmodium falciparum malaria attack]
P Hovette1, P Camara, T Passeron
1Service de Médecine interne et de Pathologies Infectieuses, Hôpital Principal, BP 3006, Dakar, Sénégal.
Introduction:
Salmonella splenic abscesses are rare and usually occur on pre-existing lesions.
Observation:
A Moorish 16 year-old woman from Senegal presented with a S. enteritidis abscess without any factor other than an attack of P. falciparum malaria. Treatment associated quinine salts, antibiotherapy and splenectomy.
Comments:
P. falciparum malaria attacks not only induce humoral and then cellular immunodepression but are also at the origin of infarction or splenic hematoma that may enhance bacterial infection and the development of abscesses. Splenectomy or percutaneous drainage associated with antibiotherapy is the usual treatment for splenic abscesses. Prognosis remains severe (13 to 16% mortality).