Splenic Abscess in a Case of Enteric Fever
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Abstract
In cases of enteric fever recorded in poor nations, splenic abscess is thought to be a relatively uncommon consequence. Splenic abscesses are typically diagnosed as a single lesion rather than a cluster of smaller abscesses, and if untreated, they can be fatal. In clinical practise, a splenectomy may be necessary when several splenic abscesses or thick pus with septations are present. In this instance, we describe a rare incidence of enteric fever in a young, immunocompetent male patient who presented with several splenic abscesses. Antibiotics and the percutaneous pigtail catheter drainage of pus from the biggest cavity in the spleen were effective treatments for him.
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References
Allal R, Kastler B, Gangi A, Bensaid AH, Bouali O, Cherrak C, et al. Splenic abscesses in typhoid fever: US and CT studies. J Comput Assist Tomogr. 1993;17:90–3.
Ng KK, Lee TY, Wan YL, Tan CF, Lui KW, Cheung YC, et al. Splenic abscess: Diagnosis and management. Hepatogastroenterology. 2002;49:567–71.
Chang KC, Chuah SK, Changchien CS, Tsai TL, Lu SN, Chiu YC, et al. Clinical characteristics and prognostic factors of splenic abscess: A review of 67 cases in a single medical center of Taiwan. World J Gastroenterol. 2006;12:460–4.
Chou YH, Tiu CM, Chiou HJ, Hsu CC, Chiang JH, Yu C, et al. Ultrasound-guided interventional procedures in splenic abscesses. Eur J Radiol. 1998;28:167–70.
Agarwal D, Arora D, Avasthi A, Singhal S. Prospective observational study of splenic abscess (A study of 18 cases in term of clinical character, outcome and prognostic factors) CIB Tech J Surg. 2015;4:17–21.
Bhongle NN, Nagdeo NV, Thombare VR. A splenic abscess which was caused by Salmonella typhi in a non sickler patient: A Rare case finding. J Clin Diagn Res. 2013;7:537–8.
Ferraioli G, Brunetti E, Gulizia R, Mariani G, Marone P, Filice C, et al. Management of splenic abscess: Report on 16 cases from a single center. Int J Infect Dis. 2009;13:524–30.
Huang DB, DuPont HL. Problem pathogens: Extra-intestinal complications of Salmonella enterica serotype typhi infection. Lancet Infect Dis. 2005;5:341–8.
Anuradha S, Singh NP, Agarwal SK. Splenic abscess – A diversity within. J Indian Acad Clin Med. 2000;1:279–81.
Thanos L, Dailiana T, Papaioannou G, Nikita A, Koutrouvelis H, Kelekis DA, et al. Percutaneous CT-guided drainage of splenic abscess. AJR Am J Roentgenol. 2002;179:629–32.