Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution
Background/Purpose. Splenic abscess is rare with potentially life-threatening evolution. The aim of this study is to review the clinical features, microbiological etiologies, treatment, and outcomes of patients with splenic abscess. Methods. We reviewed the admitted patients with suspected splenic a...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2018/8610657 |
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| _version_ | 1832555911416119296 |
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| author | Mei-Chun Lee Chun-Ming Lee |
| author_facet | Mei-Chun Lee Chun-Ming Lee |
| author_sort | Mei-Chun Lee |
| collection | DOAJ |
| description | Background/Purpose. Splenic abscess is rare with potentially life-threatening evolution. The aim of this study is to review the clinical features, microbiological etiologies, treatment, and outcomes of patients with splenic abscess. Methods. We reviewed the admitted patients with suspected splenic abscess and made the diagnosis of splenic abscess. The clinical characteristics, underlying diseases, treatment course, organism spectra, abscess number and size, therapeutic methods, and clinical outcome at a tertiary medical center in Taiwan over a period of 5 years were analyzed. Results. Of 16 patients with splenic abscess, the male to female ratio was 1 : 1. Common presentations were fever (11 patients, 68.7%), diffuse abdominal pain (6 patients, 37.5%), left upper quadrant pain or tenderness (6 patients, 37.5%), and left-sided pleural effusions (8 patients, 50%). Antimicrobial therapy was administered in all patients. Fourteen (87.5%) patients recovered under medical treatment. One (6.2%) patient underwent splenectomy, four (25%) patients performed percutaneous drainage of their splenic abscess, and 11 (68.7%) patients received antimicrobial therapy alone. Conclusion. We noted that mortality may be more related to patients with underlying immunodeficiency. Patients with splenic abscesses receiving antimicrobial therapy alone were in a relatively high proportion and got a good prognosis especially in patients with small and multiple abscesses. |
| format | Article |
| id | doaj-art-2f447f803ea84c158d49c26bacc8da8f |
| institution | Kabale University |
| issn | 1712-9532 1918-1493 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-2f447f803ea84c158d49c26bacc8da8f2025-02-03T05:46:49ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932018-01-01201810.1155/2018/86106578610657Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening EvolutionMei-Chun Lee0Chun-Ming Lee1Department of Pharmacy, MacKay Memorial Hospital, Taipei, TaiwanMackay Junior College of Medicine, Nursing and Management, Taipei, TaiwanBackground/Purpose. Splenic abscess is rare with potentially life-threatening evolution. The aim of this study is to review the clinical features, microbiological etiologies, treatment, and outcomes of patients with splenic abscess. Methods. We reviewed the admitted patients with suspected splenic abscess and made the diagnosis of splenic abscess. The clinical characteristics, underlying diseases, treatment course, organism spectra, abscess number and size, therapeutic methods, and clinical outcome at a tertiary medical center in Taiwan over a period of 5 years were analyzed. Results. Of 16 patients with splenic abscess, the male to female ratio was 1 : 1. Common presentations were fever (11 patients, 68.7%), diffuse abdominal pain (6 patients, 37.5%), left upper quadrant pain or tenderness (6 patients, 37.5%), and left-sided pleural effusions (8 patients, 50%). Antimicrobial therapy was administered in all patients. Fourteen (87.5%) patients recovered under medical treatment. One (6.2%) patient underwent splenectomy, four (25%) patients performed percutaneous drainage of their splenic abscess, and 11 (68.7%) patients received antimicrobial therapy alone. Conclusion. We noted that mortality may be more related to patients with underlying immunodeficiency. Patients with splenic abscesses receiving antimicrobial therapy alone were in a relatively high proportion and got a good prognosis especially in patients with small and multiple abscesses.http://dx.doi.org/10.1155/2018/8610657 |
| spellingShingle | Mei-Chun Lee Chun-Ming Lee Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution |
| title_full | Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution |
| title_fullStr | Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution |
| title_full_unstemmed | Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution |
| title_short | Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution |
| title_sort | splenic abscess an uncommon entity with potentially life threatening evolution |
| url | http://dx.doi.org/10.1155/2018/8610657 |
| work_keys_str_mv | AT meichunlee splenicabscessanuncommonentitywithpotentiallylifethreateningevolution AT chunminglee splenicabscessanuncommonentitywithpotentiallylifethreateningevolution |