Splenic Abscess of an Unknown Etiology

Splenic abscess is a rare condition, detected in individuals with certain predisposing factors that lead to abscess formation. This is a case report of a 20-year female presenting with high grade fever, weight loss, and left hypochondrial pain. She had an abdominal mass, that was reported as enlarged spleen with multiple abscesses on CT scan. Her laboratory analysis revealed neutrophil leukocytosis with a raised erythrocyte sedimentation rate (ESR) and normal peripheral smear, while her blood culture, brucella and viral serologies, transesophageal echo, antinuclear antibody (ANA) profile and hypercoagulability work up, were negative. Hence, no predisposing factor could be found as the cause of splenic abscess. She was successfully treated with intravenous antibiotics and recovered.