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[Pyogenic splenic abscesses. A review of 8 cases]
C Loussaief1, A Toumi, F Ben Romdhane
1Service des Maladies Infectieuses, hôpital universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie. loussaief10@yahoo.fr
La Revue De Medecine Interne
|June 25, 2005
Summary
Pyogenic splenic abscess is a rare but serious condition. Early diagnosis using imaging and prompt treatment with antibiotics are key to successful outcomes.
Area of Science:
- Infectious Diseases
- Abdominal Imaging
- Surgical Pathology
Background:
- Pyogenic splenic abscess is a rare, life-threatening condition.
- Nonspecific clinical signs present diagnostic challenges.
- Medical imaging is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate the epidemiologic and clinical features of splenic abscesses.
- To explore therapeutic options for splenic abscesses.
- To highlight the role of medical imaging in diagnosis.
Main Methods:
- Retrospective analysis of 8 splenic abscess cases (1993-2002).
- Review of clinical presentations, diagnostic methods, and treatments.
- Microbiological analysis of blood cultures and abscess pus.
Main Results:
- Fever and left upper quadrant pain were common symptoms.
- Staphylococcus aureus was the most frequent pathogen identified.
- Ultrasonography successfully diagnosed all cases.
- Antibiotic therapy was effective, with good outcomes in all patients.
Conclusions:
- Splenic abscesses are increasingly recognized.
- Early diagnosis combines clinical suspicion with imaging findings.
- Prompt treatment leads to favorable outcomes.