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Case Report: Reflection on a case of splenic abscess in a child

Tao Zhou1, Yongfang Liu1

  • 1Department of Infectious Disease Department, The Third People's Hospital of Chengdu, Chengdu, China.

Frontiers in Pediatrics
|September 26, 2024
PubMed

Insights

Splenic abscesses are rare, often missed diagnoses in children. This case highlights successful antibiotic treatment for a solitary splenic abscess in a teen, resolving symptoms and the infection.

Area of Science:

  • Pediatric infectious diseases
  • Abdominal imaging
  • Surgical pathology

Background:

  • Splenic abscesses (SA) are uncommon, particularly in pediatric populations, leading to diagnostic challenges.
  • Non-specific symptoms and imaging findings contribute to a high rate of missed or delayed diagnoses.

Observation:

  • A 16-year-old male presented with abdominal pain, fever, and cough, experiencing recurrent fevers despite initial treatment.
  • Diagnostic imaging, including contrast-enhanced CT and MRI, identified a solitary splenic abscess.

Findings:

  • Antibiotic therapy was initiated, leading to the resolution of fever and abdominal pain.
  • The splenic abscess gradually resolved following appropriate antibiotic treatment, avoiding surgical intervention.

Implications:

  • This case underscores the importance of considering splenic abscess in pediatric patients with persistent, non-specific symptoms.
  • Prompt diagnosis and effective antibiotic management can lead to favorable outcomes, potentially preventing the need for more invasive procedures like splenectomy.

Keywords:
aseptic splenic abscesschilddiagnosticspathogenicsplenic abscesstreatment

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