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Splenic abscess: Plasmodium vivax with secondary Escherichia coli infection
Laxmikant Ramkumarsingh Tomar1, Ranjith Rajendran2, Santosh Kumar Pandey2
1Senior Resident, Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India drlaxmikantucms@yahoo.com.
Abstract:
Splenic abscess is a rare clinical entity as described in literature. The incidence is in the range of 0.14-0.7% and it has a high mortality rate. Hence, it is important to know its clinical presentation and complications, so that it can be treated early. We report a 40-year-old diabetic man who presented with fever with chills and rigor for the last 9 days and heaviness in the left hypochondrium for the last 6 days. He was initially diagnosed as having splenomegaly due to Plasmodium vivax (P. vivax), but was later found to have a splenic abscess due to Escherichia coli (E. coli). This was successfully managed by catheter drainage (CD) and antibiotic treatment.
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