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[Splenic abscess after angiography. Considerations on a clinical case]
F Tridico1, P Panier Suffat, F Rebecchi
1Istituto di Clinica Chirurgica e Terapia Chirurgica, Università degli Studi, Torino.
Minerva Cardioangiologica
|April 1, 1995
Summary
A diabetic patient developed a splenic abscess from a cardiac thrombus embolus and Staphylococcus aureus contamination during angiography. Successful treatment involved splenectomy, highlighting a rare complication in patients with cardiovascular disease.
Area of Science:
- Medicine
- Cardiology
- Infectious Diseases
Background:
- Splenic abscesses are rare, often occurring in patients with underlying conditions.
- Cardiovascular disease increases the risk of thromboembolic events, potentially affecting the spleen.
- Intraventricular thrombi can lead to systemic embolization.
Observation:
- A 49-year-old male with diabetes, cardiopathy, and arteriopathy presented with a splenic abscess.
- The abscess originated from splenic infarction, caused by an embolus from an intraventricular thrombus.
- Bacterial contamination with Staphylococcus aureus occurred during an angiographic procedure.
Findings:
- The splenic abscess was successfully treated with splenectomy.
- This case illustrates a complex pathway from cardiac thrombus to splenic infection.
- Staphylococcus aureus was identified as the causative agent of the infection.
Implications:
- Splenectomy can be an effective treatment for splenic abscesses in high-risk patients.
- Awareness of potential splenic complications is crucial in managing patients with cardiovascular disease and diabetes.
- Iatrogenic infections during invasive procedures require careful consideration in differential diagnosis.