Posts filed under ‘Abscesos esplenicos’

Splenic Abscess due to Brucella Melitensis – A Rare Pediatric Complication.

J Lab Physicians. 2010 Jul  V.2 N.2  P.105-8.

Parande AM, Mantur BG, Kore M, Palled E.

Department of Microbiology, Belgaum Institute of Medical Sciences, Belgaum, Karnataka, India.

Abstract

Splenic abscess due to Brucella species is an extremely rare complication especially in acute illness. Here we report a case of splenic abscess caused by Brucella melitensis biotype 1 in a child with acute infection who was successfully treated with only antibiotics.

FULL TEXT

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040094/?tool=pubmed

 

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July 21, 2012 at 6:27 pm

Primary tuberculous abscess of the spleen in an immununocompetent patient diagnosed by biochemical markers and radiologic findings.

J Clin Med Res. 2012 Apr  V.4  N.2 P.149-51.

Kim HH, Park SJ, Park MI, Moon W.

Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

Abstract

Tuberculous splenic abscess in an immunocompetent patient is extremely rare. We came across a case of middle aged immunocompetent female who presented with abdominal distension, weight loss, and low grade fever. Abdominopelvic computed tomography showed multiple low density lesions in the spleen with ascites. Interferon-gamma release assay was positive and adenosine deaminase level of ascites was significantly high. No primary focus of infection was detected. The patient was diagnosed as having primary multiple tuberculous splenic abscesses with tuberculous peritonitis causing ascites. Follow up computed tomography, after completion of six month course of anti-tubercular therapy, showed splenic abscess and ascites completely disappeared.

PDF

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3320127/pdf/jocmr-04-149.pdf

July 19, 2012 at 9:30 pm

Splenic abscess – presentation of nine cases.

Rev Chilena Infectol. 2006 Jun V.23 N.2 P.150-4.

Villamil-Cajoto I, Lado FL, Van den Eynde-Collado A, Díaz-Peromingo JA.

Departamento de Medicina, Servicio de Medicina Interna, Hospital Clínico Universitario de Santiago de Compostela, Spain. iago.villamil.cajoto@sergas.es

Abstract

Relatively rare, splenic abscess is difficult to diagnose and often fatal if left untreated. The disease is thought to be growing in frequency because of the increasing number of inmunocompromised patients. Several mechanisms for the development of splenic abscess may exist. Some studies demonstrate that prior splenic injury in addition to bacteraemia is required for a splenic abscess to occur. In our series, 9 non immunocompromised patients were identified to have this disease during a 6 years period. Pathogens isolated included Salmonella sp, Staphylococcus sp and Enterococcus sp. Splenectomy was performed in three patients; in another a percutaneous drainage was done. One patient died. In summary, though rare, splenic abscess presents with high morbidity and mortality. In our experience, risk factors as immunocompromise seem not to be so prevalent in patients with splenic abscess and therefore this diagnosis should be considered in all patients with fever of unknown origin.

PDF

http://www.scielo.cl/pdf/rci/v23n2/art08.pdf

July 16, 2012 at 1:37 pm

Splenic abscesses. Report of seven cases.

Rev Med Chil. 2008 Jan  V.136 N.1  P.38-43.

Iñiguez A, Butte JM, Zuñiga JM, Torres J, Llanos O.

División de Cirugía, Facultad de Medicina, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile. ainiguez@uc.cl

Abstract

BACKGROUND:

Splenic abscesses are uncommon, appear in subjects with predisposing factors such as systemic infections and have high mortality rates.

AIM:

To report seven patients with splenic abscesses.

MATERIAL AND METHODS:

Retrospective review of medical records of patients with a splenic abscess treated between 1987 and 2005.

RESULTS:

The records of four women and three males aged 20 to 74 years, were reviewed. The most common presenting symptoms were fever and abdominal pain and all had predisposing factors. Six patients had a leukocyte count of 19,500 x mm(3). Mean erythrocyte sedimentation rate and C reactive protein values were 75 mm/h and 13.5 mg/dl. Diagnosis was made with ultrasound in two patients and CT scan in five. Six patients had an unique abscess and one patient had multiple lesions. A splenectomy was done in three patients as the first choice treatment and in one, due to medical treatment failure. In two patients, a CT guided percutaneous drainage was performed and one patient was subjected to medical treatment only. Abscess cultures were positive in 50% of patients subjected to percutaneous drainage and in 50% of splenectomized patients. No patient died and no complications were observed in the early or late postoperative period.

CONCLUSION:

Splenic abscesses are associated to predisposing conditions. The first choice is surgical treatment, but percutaneous drainage is also a therapeutic option.

PDF

http://www.scielo.cl/pdf/rmc/v136n1/art05.pdf

July 14, 2012 at 2:28 pm

Splenic abscess – a single institution study and review of the literature.

Yonsei Med J. 2011 Mar  V.52 N.2 P.288-92.

Lee WS, Choi ST, Kim KK.

Department of Surgery, Gachon University of Medicine and Science, Gil Hospital, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea.

Abstract

PURPOSE:

The aim of this study was to review our experience with splenic abscesses, with respect to the relevant aspects of splenic abscesses and treatment outcomes.

MATERIALS AND METHODS:

We reviewed the cases of 18 patients who had splenic abscesses and who were treated at our hospital from November 1993 to December 2008.

RESULTS:

The most common symptom at presentation was abdominal pain in 12 patients (66.7%). The median duration from symptom onset until establishment of a diagnosis was 22 days. Streptococcus viridans was the most common pathogen (27.8%), follow by Klebsiella pneumoniae (22.2%). The mortality rate during the inpatient period and the previous 90 days was 16.6%. Three of four patients with Klebsiella pneumoniae showed a single abscess pocket. Four patients (22.2%) underwent percutaneous drainage, eight (44.5%) received antibiotic treatment only and six (33.3%) underwent splenectomy.

CONCLUSION:

There is no gold standard for treating splenic abscesses. Treatment should be customized for each patient.

PDF

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3051211/pdf/ymj-52-288.pdf

July 14, 2012 at 2:25 pm

Splenic abscess and multiple brain abscesses caused by Streptococcus intermedius in a young healthy man.

Proc (Bayl Univ Med Cent). 2011 Jul  V.24  N.3  P.195-9.

Maliyil J, Caire W, Nair R, Bridges D.

Department of Family Medicine (Maliyil, Caire, Nair) and the Division of Infectious Diseases, Department of Internal Medicine (Bridges), Baylor Medical Center at Garland, Garland, Texas.

Abstract

We report a case of splenic abscess with multiple brain abscesses caused by Streptococcus intermedius in a healthy young man without any identifiable risk factors, which resolved with percutaneous drainage and antibiotics. Streptococcus intermedius, a member of the Streptococcus anginosus group, is a common commensal organism of the oral cavity and gastrointestinal tract, and it is a known cause of deep-seated infections. Suppurative infections caused by Streptococcus anginosus group are sometimes associated with bacteremia, but hematogenous spread of infection from an occult source leading to concurrent splenic abscess and multiple brain abscesses has never been previously reported in a healthy young individual.

PDF

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124902/pdf/bumc0024-0195.pdf

July 12, 2012 at 2:51 pm

Splenic abscess: a single institution study and review of the literature.

Yonsei Med J. Mar 2011  V.52 N.2 P.:288-92.

Lee WS, Choi ST, Kim KK.

Department of Surgery, Gachon University of Medicine and Science, Gil Hospital, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea .

Abstract

PURPOSE:

The aim of this study was to review our experience with splenic abscesses, with respect to the relevant aspects of splenic abscesses and treatment outcomes.

MATERIALS AND METHODS:

We reviewed the cases of 18 patients who had splenic abscesses and who were treated at our hospital from November 1993 to December 2008.

RESULTS:

The most common symptom at presentation was abdominal pain in 12 patients (66.7%). The median duration from symptom onset until establishment of a diagnosis was 22 days. Streptococcus viridans was the most common pathogen (27.8%), follow by Klebsiella pneumoniae (22.2%). The mortality rate during the inpatient period and the previous 90 days was 16.6%. Three of four patients with Klebsiella pneumoniae showed a single abscess pocket. Four patients (22.2%) underwent percutaneous drainage, eight (44.5%) received antibiotic treatment only and six (33.3%) underwent splenectomy.

CONCLUSION:

There is no gold standard for treating splenic abscesses. Treatment should be customized for each patient

PDF

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3051211/pdf/ymj-52-288.pdf

May 13, 2012 at 12:59 pm


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