Splenic abscess: a rare presentation

Bhatia, Mohit; Lohar, Hanumant; Nirhale, Daksha S; Tomar, Vishal

doi:10.4103/1110-7782.159477

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…In our patient, these two modalities, as well as pus and blood cultures, played essential role in establishing the diagnosis. This study supports evidence from previous observations that typhoid splenic abscesses could present solitary/unilocular lesions (3,12,13) or multiple/multilocular lesions (4,5,7,8,10,11).…”

Section: Discussionsupporting

confidence: 92%

“…Treatment of typhoid splenic abscess is controversial because no randomized trials were conducted. Splenectomy along with antibiotics is regarded as the treatment of choice by many physicians (5,7,8,11,13); however, our case, as well as other cases, showed that percutaneous abscess aspiration with appropriate antibiotics coverage could be as effective as splenectomy (3,4,10,12). Furthermore, there is no consensus on the duration of antibiotic therapy, which should be adapted to each case.…”

Section: Discussionmentioning

confidence: 69%

“…Abdomen ultrasonography and CT are very helpful in the early detection of the splenic lesion with abdomen CT being most sensitive and specific modality, moreover, microbiological study of blood and aspirated pus is essential to identify the etiological agent (3)(4)(5)(7)(8)(9)(10)(11)(12)(13). In our patient, these two modalities, as well as pus and blood cultures, played essential role in establishing the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Case of Typhoid Splenic Abscess: A Case Report and Literature Review

Khan¹

2019

Int J Infect

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Introduction: Typhoid splenic abscess is a rare clinical entity that can be fatal if left untreated. Herein, we reported a case of typhoid splenic abscess who responded to ultrasound-guided aspiration and antibiotic therapy. Case Presentation: A 25-year-old Nepalese man with no significant medical history presented to the emergency department with fever and the left upper abdominal pain lasting for seven days. One month before his presentation to our hospital, he returned from an eight-week holiday in Nepal. Splenic abscess was diagnosed by abdomen ultrasound and enhanced-computerized tomography. The patient refused surgical intervention and ultrasound-guided abscess aspiration was performed while piperacillin-tazobactam was initiated. Blood and aspirated pus microscopy revealed Gram-negative bacilli and the culture grew Salmonella typhi, which was sensitive to piperacillin-tazobactam, ampicillin, ciprofloxacin, and ceftriaxone. Piperacillin-tazobactam was continued for 4 weeks with successful recovery. Conclusions: This case highlights the importance of considering typhoid splenic abscess in the differential of fever and abdominal pain in returning travelers.

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