Splenic abscess caused by Peptostreptococcus species, diagnosed with the aid of abdominal computerized tomography and treated with percutaneous drainage and antibiotics: a case report

Loualidi, A.; Gerritsen, Martijn; Seelen, Jan L; Kabel, P. J.; Doorn, L.G van

doi:10.1016/s0300-2977(01)00170-x

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…In many cases, Tuberculous abscesses occurred in the setting of immunosuppression (most commonly HIV). Anecdotal reports of abscesses due to Vibrio cholerae, 18 Peptostreptococcus, 19 Streptococcus pyogenes 20 and Chlamydia pneumoniae 21 also appear in the literature.…”

Section: Discussionmentioning

confidence: 99%

Ten-year Series of Splenic Abscesses in a General Hospital in Singapore

Leong

Chng

2008

Ann Acad Med Singap

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Introduction: Splenic abscess is an uncommon clinical problem. Traditionally, the “gold standard” treatment has been splenectomy. However, there is increasing use of non-operative treatments worldwide. Materials and Methods: A 10-year (1996-2005) retrospective review of case records from a single centre (an 800-bed general hospital) was performed. Information regarding demographics, clinical presentation, aetiological agents and management was gathered and analysed. Results: There were 21 cases from 1996 to 2005. Nineteen (90%) had multiple abscesses. Disseminated melioidosis was the most common aetiological agent (15 cases, 71%). Only 3 patients underwent splenectomy. The remainder were treated conservatively with antibiotics. Almost all the patients (19, 90%) also suffered from diabetes mellitus. Conclusions: The most common aetiological agent encountered was Burkholderia pseudomallei. Diabetes mellitus may be an important co-factor in the pathogenesis of splenic abscesses. The majority of our patients were managed conservatively and splenectomy was only occasionally required. Key words: Burkholderia pseudomallei, Splenectomy

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Section: Discussionmentioning

confidence: 99%

Ten-year Series of Splenic Abscesses in a General Hospital in Singapore

Leong

Chng

2008

Ann Acad Med Singap

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“…(8,9,10) Contagious spread from colonic perforations can have infection due to anaerobes like Bacteroides, Fusobacterium, Clostridium, and fungi like Candida and Aspergillus. (11,12,13) Meliodosis is reported as the commonest cause in countries like Taiwan and Singapore. (14,15) CLINICAL PRESENTATION: Splenic abscess is an uncommonly seen condition and thus remains a diagnostic challenge.…”

Section: Pathology and Microbiologymentioning

confidence: 99%

Splenic Abscess: Review Article

Datey¹,

Charles²,

Patidar³

et al. 2015

jemds

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Case report of splenic abscess in a 35 year old male is presented with review of the literature. The patient was admitted with left sided lower chest pain and fever without any significant abnormality on physical examination and haematological investigations. On imaging studies a large splenic abscess was diagnosed which was initially treated by broad spectrum antibiotics. Aspiration under sonographic control was unsuccessful due to thick pus and debris in the abscess. Open splenectomy was done with a complete recovery of the patient. Splenic abscess is an infrequent clinical entity and carries a very high mortality in the untreated cases. Pathognomic clinical features of left hypochondrial pain, splenomegaly, fever and leucocytosis are present in only one-third of the cases. Diagnosis is mostly done by imaging, either Abdominal Sonography or CT Scan. So far no prospective study has been done to rationalize the management, probably due to paucity of cases. Antibiotics alone or with percutaneous drainage under imaging control are successful in many cases. Failed aspirations and splenic abscesses with concomitant pathologies need splenectomy. Splenectomy and complete removal of the source of the infection is still the mainstay of treatment. Detailed review of the available literature of the clinical problem and various methods of treatment of splenic abscesses are discussed in the article. KEYWORDS: Splenic Abscess, Percutaneous drainage of splenic abscess, Splenectomy. INTRODUCTION:Splenic abscess is an infrequent clinical entity. International literature has less than 600 reported cases so far. (1) Splenic abscesses have a very high mortality in untreated cases. Pathognomic clinical features of left hypochondrial pain, fever, splenomegaly and leucocytosis are present in only one-third of the cases. Diagnosis is mostly done by imaging i. e., Sonography or CT Scan. Various treatment modalities like aspiration under imaging control with appropriate antibiotics and splenectomy by open or laparoscopic approach have been described. So far no prospective study has been done to rationalize the management probably due to the paucity of cases.

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Gram-Positive Anaerobic Cocci

Wren

2010

Topley &Amp; Wilson's Microbiology and Microbial Infections

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Splenic abscess caused by Peptostreptococcus species, diagnosed with the aid of abdominal computerized tomography and treated with percutaneous drainage and antibiotics: a case report

Cited by 4 publications

References 24 publications

Ten-year Series of Splenic Abscesses in a General Hospital in Singapore

Ten-year Series of Splenic Abscesses in a General Hospital in Singapore

Splenic Abscess: Review Article

Gram-Positive Anaerobic Cocci

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