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[Spleen abscess].

P Arazo1, J R Muñoz, J M Aguirre

  • 1Departamento de Medicina Interna, Hospital Miguel Servet, Zaragoza.

Anales De Medicina Interna (Madrid, Spain : 1984)
|March 1, 1990
PubMed
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This study presents three cases of splenic abscess (SA), highlighting unusual bacterial causes like Salmonella group D and Bacteroides Fragilis. Early diagnosis using ultrasound and CT is crucial for effective management.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Splenic abscess (SA) is a rare intra-abdominal infection.
  • Clinical presentation often includes abdominal pain, fever, leukocytosis, and hepatosplenomegaly.
  • Etiology can be diverse, involving pyogenic bacteria, fungi, or parasites.

Observation:

  • Three cases of splenic abscess were identified with consistent clinical symptoms.
  • Abdominal ultrasound initially suggested the diagnosis.
  • Contrast-enhanced computed tomography (CT) confirmed the splenic abscesses.

Findings:

  • The study identified rare bacterial pathogens in the presented cases.
  • Two cases were caused by Salmonella group D.
  • One case was attributed to Bacteroides Fragilis.

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Implications:

  • This case series emphasizes the importance of considering unusual pathogens in splenic abscess etiology.
  • Prompt diagnosis via imaging modalities like ultrasound and CT is vital.
  • Understanding the etiopathogenesis aids in targeted antimicrobial therapy and improved patient outcomes.