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Multiple splenic abscesses following Pseudomonas sepsis.

P Mack¹, R Nambiar

¹Department of Surgery, Singapore General Hospital.

Annals of the Academy of Medicine, Singapore

|May 1, 1989

Summary

Splenic abscesses are rare infections. This study highlights two unusual cases of multiple splenic abscesses caused by Pseudomonas, a bacterium not typically associated with this condition, emphasizing the need for broader diagnostic considerations.

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Area of Science:

Infectious Diseases
Microbiology
Surgical Pathology

Background:

Splenic abscess is an uncommon condition, often resulting from bacterial metastasis.
Historically, Salmonella typhi was a frequent cause, but staphylococci and streptococci are now more prevalent.
The emergence of antibiotic resistance necessitates understanding atypical causative agents.

Observation:

Two rare cases of multiple splenic abscesses due to Pseudomonas infection are presented.
One case stemmed from Pseudomonas septicemia; the other was linked to Pseudomonas pseudomallei osteomyelitis.
These cases underscore the diverse origins of splenic abscesses.

Findings:

Pseudomonas species, including Pseudomonas pseudomallei, can cause multiple splenic abscesses.
Splenectomy proved an effective treatment for these rare presentations.
Prompt recovery was observed post-splenectomy in both patients.

Implications:

Clinicians should consider Pseudomonas as a potential pathogen in splenic abscesses, particularly in specific clinical contexts.
This report expands the spectrum of known causes for splenic abscesses.
Effective management may involve surgical intervention like splenectomy for complex cases.

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