Abscess of the spleen in a patient with infectious endocarditis

Area of Science:

• Cardiology
• Infectious Diseases
• Abdominal Surgery

Background:

• Infective endocarditis (IE) is a serious infection affecting heart valves.
• Splenic complications, such as abscess, can arise from IE but are less common.
• Timely diagnosis and surgical intervention are crucial for managing IE with severe complications.

Observation:

• A patient presented with prolonged symptoms including fever, skin rashes, and splenomegaly, initially suspected as vasculitis or lymphoma.
• Transesophageal echocardiography revealed vegetations on the aortic valve, indicative of IE.
• CT imaging suggested a spleen infarct with a suspected abscess.

Findings:

• The patient underwent a simultaneous operation for aortic valve replacement and splenectomy.
• A splenic abscess was confirmed during the surgical procedure.
• The patient recovered well and was discharged in satisfactory condition.

Implications:

• This case highlights the importance of considering IE in patients with prolonged systemic symptoms and splenic involvement.
• Simultaneous valve replacement and splenectomy can be an effective treatment strategy for IE complicated by splenic abscess.
• Early and accurate diagnosis through advanced imaging is critical for successful management and improved patient outcomes.