Abstract Splenic abscess is a rare condition. Haematogenous seeding to the spleen from an infection at a distant site, most often endocarditis, is been the most common predisposing condition but an increase has been observed in immuno-compromised patients too. Fever, leukocytosis and left upper quadrant pain are suggestive, but the signs and symptoms of splenic abscesses are often non-specific. Rare is the onset with diarrhoea as in our case. Ultrasound and computed tomography are reliable diagnostic tools. Splenectomy and antibiotics are the treatments of choice. We describe a case of splenic abscess with gas level and peritonitis from dissemination of Streptococcus anginosus (of Streptococcus millerii group) from duodenal ulcer contaminated. It was diagnosed with CT, ultrasound, and abdomen X-ray with contrast then treated with splenectomy and peritoneal lavage. PMID: 18834569 [PubMed - indexed for MEDLINE]

Splenic abscess due to streptococcus anginosus. Case report / Lombardi, Augusto; Coppola, Marcello; Pennica, A; Maglio, R; Moscaroli, A; LO RUSSO, M; Provenza, G.. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - 29:(2008), pp. 359-361.

Splenic abscess due to streptococcus anginosus. Case report.

LOMBARDI, Augusto;COPPOLA, Marcello;
2008

Abstract

Abstract Splenic abscess is a rare condition. Haematogenous seeding to the spleen from an infection at a distant site, most often endocarditis, is been the most common predisposing condition but an increase has been observed in immuno-compromised patients too. Fever, leukocytosis and left upper quadrant pain are suggestive, but the signs and symptoms of splenic abscesses are often non-specific. Rare is the onset with diarrhoea as in our case. Ultrasound and computed tomography are reliable diagnostic tools. Splenectomy and antibiotics are the treatments of choice. We describe a case of splenic abscess with gas level and peritonitis from dissemination of Streptococcus anginosus (of Streptococcus millerii group) from duodenal ulcer contaminated. It was diagnosed with CT, ultrasound, and abdomen X-ray with contrast then treated with splenectomy and peritoneal lavage. PMID: 18834569 [PubMed - indexed for MEDLINE]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11573/230351
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