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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
PubMed

Insights

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.

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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