Splenic abscess due to Clostridium difficile and Pseudomonas paucimobilis

Extraintestinal infection by Clostridium difficile is a rare entity. Herein we describe a 62-yr-old man with C. difficile bacteremia complicated by a splenic abscess. Of particular interest was the isolation of C. difficile and Pseudomonas paucimobilis from the splenic abscess. Prompt antibiotic therapy and splenectomy resulted in a favorable outcome. Although rare, these organisms should be considered in the differential diagnosis of a splenic abscess.