Multiple aseptic splenic abscesses in a 15 year old patient

Area of Science:

• Pediatric Infectious Diseases
• Autoimmune Disorders

Background:

• Splenic abscesses are rare in children.
• Aseptic abscesses are increasingly recognized, particularly in adults.
• This case highlights a rare pediatric presentation of aseptic abscesses.

Observation:

• A 15-year-old female presented with aseptic abscesses.
• Initial treatment with metronidazole and meropenem provided partial clinical improvement.
• Corticosteroid therapy was crucial for complete and sustained symptom resolution.

Findings:

• The patient was diagnosed with autoimmune thyroiditis.
• No evidence of inflammatory bowel disease was found.
• Anaerobic bacteria are implicated in the pathogenesis of aseptic splenic abscesses.

Implications:

• Aseptic splenic abscesses necessitate thorough diagnostic work-up for underlying causes.
• Regular patient follow-up is essential.
• Combined corticosteroid and anaerobic-targeted antibiotic therapy may be beneficial.