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[Splenic abscess: presentation of nine cases].
Iago Villamil-Cajoto1, F L Lado, A Van den Eynde-Collado
1Departamento de Medicina, Servicio de Medicina Interna, Hospital Clínico Universitario de Santiago de Compostela, Spain. iago.villamil.cajoto@sergas.es
Summary
Splenic abscess is a rare but serious condition. Our findings suggest immunocompromise may not be as prevalent, emphasizing its consideration in fever of unknown origin cases.
Area of Science:
- Infectious Diseases
- Abdominal Surgery
Context:
- Splenic abscess is a rare condition with high mortality.
- Increasing incidence is often attributed to immunocompromised patients.
- Diagnosis can be challenging, necessitating a high index of suspicion.
Purpose:
- To analyze the clinical characteristics and outcomes of splenic abscess.
- To evaluate the role of immunocompromise as a risk factor.
- To highlight the importance of considering splenic abscess in unexplained fever.
Summary:
- A series of 9 non-immunocompromised patients with splenic abscess over 6 years.
- Common pathogens included Salmonella, Staphylococcus, and Enterococcus.
- Treatment involved splenectomy or percutaneous drainage, with one mortality.
Impact:
- Challenges the assumption that immunocompromise is the primary risk factor for splenic abscess.
- Suggests splenic abscess should be considered in a broader patient population presenting with fever of unknown origin.
- Highlights the significant morbidity and mortality associated with splenic abscess, even in non-immunocompromised individuals.