Experience with Splenic Abscess from Southern India.

Authors:
Knkj Mohan
Knkj Mohan
Nizam's Institute of Medical Sciences
Krishna Prasad Adiraju
Krishna Prasad Adiraju
Nizam's Institute of Medical Sciences
Hyderabad | India
Nageswar Rao Modugu
Nageswar Rao Modugu
Nizam's Institute of Medical Sciences
Hyderabad | India
Naval Chandra
Naval Chandra
Nizam's Institute of Medical Sciences
Hyderabad | India
Sathyanarayana Raju Yadati
Sathyanarayana Raju Yadati
Nizam's Institute of Medical Sciences

J Clin Diagn Res 2016 Oct 1;10(10):OC22-OC25. Epub 2016 Oct 1.

Professor & Head, Department of General Medicine, Nizam's Institute of Medical Sciences , Hyderabad, Telangana, India .

Introduction: Splenic abscess is a rare entity with potentially life threatening complications. Sparse recent published data are available documenting the aetiological profile and management of patients with splenic abscess from India.

Aim: To study the clinical profile of splenic abscess.

Materials And Methods: We retrospectively collected data from case records of admitted patients with splenic abscesses, to Nizam's Institute of Medical Sciences and Hospital which is a multispecialty, tertiary care referral hospital over a period of 15 months (from March 2014 to May 2015) and parameters studied were age, sex, symptoms, signs, risk factors, investigations like Ultrasound, CT scan, blood & microbiological culture, treatment and outcome.

Results: Most common presenting symptom was fever (90%). Mean age was 33.5 years. Five patients (55%) had risk factors like HIV, leukaemia and diabetes. From pus culture was the most common organism (22%) grown. , were seen in one each, blood culture grown , in one each, was seen on peripheral smear in one. Three were empirically treated as disseminated koch's. Another was treated as possible infective endocarditis. All were given antimicrobials, five (55%) were treated with antimicrobials alone, three (33%) with PCD (Per Cutaneous Drainage) and one (11%) with sub-total splenectomy. All patients recovered.

Conclusion: With early diagnosis and increased use of ultrasound guided procedures like aspiration or drainage, spleenectomy can be avoided. Optimal treatment for splenic abscess is yet to be defined and customized to each patient.

Download full-text PDF

Source
http://dx.doi.org/10.7860/JCDR/2016/22108.8628DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121710PMC
October 2016
7 Reads

Publication Analysis

Top Keywords

splenic abscess
16
risk factors
8
patients splenic
8
splenic
5
three empirically
4
2014 2015
4
months march
4
period months
4
empirically treated
4
smear three
4
march 2014
4
parameters studied
4
grown peripheral
4
age sex
4
studied age
4
peripheral smear
4
treated disseminated
4
2015 parameters
4
disseminated koch's
4
endocarditis antimicrobials
4

Similar Publications

Splenic Abscess: An Uncommon Entity with Potentially Life-Threatening Evolution.

Can J Infect Dis Med Microbiol 2018 31;2018:8610657. Epub 2018 Jan 31.

Division of Infectious Disease, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.

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. Read More

View Article
January 2018

Management of splenic abscess: report on 16 cases from a single center.

Int J Infect Dis 2009 Jul 12;13(4):524-30. Epub 2008 Dec 12.

Infectious and Tropical Diseases Division, IRCCS S. Matteo Foundation, University of Pavia, Via Taramelli 5, 27100 Pavia, Italy.

Objectives: Splenic abscess is an uncommon disease, with a reported incidence of 0.14-0.7% in autoptic series. Read More

View Article
July 2009

Ultrasound guided percutaneous treatment for splenic abscesses: the significance in treatment of critically ill patients.

World J Gastroenterol 2006 Dec;12(45):7341-5

Interventional Ultrasonography Department, The University Clinical Centar Tuzla, Trnovac BB, Tuzla 75000, Bosnia and Herzegovina.

Aim: To analyze the results of ultrasound guided percutaneous needle aspiration (PNA) and percutaneous catheter drainage (PCD) in the treatment of splenic abscess.

Methods: Thirty-six patients (14 females and 22 males, with an average age of 54.1 +/- 14. Read More

View Article
December 2006

Management of splenic abscess in children by percutaneous drainage.

J Pediatr Surg 2006 Jan;41(1):e53-6

Department of Pediatric Surgery, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi 110001, India.

Background/purpose: Isolated splenic abscesses are rare in pediatric patients. The recommended treatment in the literature has been in favor of splenectomy, although conservative treatment with splenic preservation is being increasingly reported. We report successful management of 4 pediatric patients with splenic abscess by needle aspirations and antibiotics. Read More

View Article
January 2006