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Related Experiment Videos

Spleen abscess caused by Eikenella corrodens.

M T Pérez-Pomata1, J Domínguez, P Horcajo

  • 1Division of Microbiology, Hospital General del Insalud de Guadalajara, Spain.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|February 1, 1992
PubMed
Summary

A rare splenic abscess caused by Eikenella corrodens, a common bacteria, was successfully treated in a 64-year-old male. The patient recovered fully after antibiotic therapy and spleen removal.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Surgical Pathology

Background:

  • Eikenella corrodens is a gram-negative bacterium typically found in normal human oral and mucosal flora.
  • Splenic abscesses are uncommon but serious infections requiring prompt diagnosis and treatment.

Observation:

  • A 64-year-old male presented with symptoms including fever, chills, anorexia, and abdominal pain.
  • Initial abdominal ultrasound revealed a perisplenic fluid collection, with a subcapsular spleen abscess being a primary consideration.

Findings:

  • Surgical exploration confirmed a splenic abscess, leading to a splenectomy.
  • Cultures of splenic purulent material and blood identified Eikenella corrodens as the causative agent.
  • Post-operative treatment with cefotaxime for 19 days resulted in complete asymptomatic recovery.

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Implications:

  • This case highlights Eikenella corrodens as a potential pathogen in splenic abscess formation.
  • Early diagnosis and appropriate antibiotic management, alongside surgical intervention when necessary, are crucial for favorable outcomes.
  • Further research may elucidate the specific mechanisms by which oral flora can lead to deep-seated infections like splenic abscesses.