Experience with Splenic  Abscess from Southern India

A 61-year-old man with decompensated liver cirrhosis presented with a parotid mass. Fine-needle aspiration of the parotid gland revealed Cryptococcus neoformans. Lumbar puncture confirmed cryptococcal meningitis. Multiple splenic lesions with radiographic features consistent with cryptococcal splenic abscesses were also seen. Despite antifungal therapy, the patient died 17 days after infection was confirmed. This is the first report of a cryptococcal parotid abscess in a patient with liver cirrhosis.

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“…A similar search revealed only 2 cases of cryptococcal splenic abscesses, possibly due to underdiagnosis [29,30].…”

Section: Discussionmentioning

confidence: 99%

Cryptococcus: A Rare Cause of Parotid Abscess in Liver Cirrhosis

Okamoto

Fukuda

2020

Case Reports in Hepatology

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“…Conservative methods, such as partial splenectomy, are suggested due to increased susceptibility to infections and thromboembolic events (12). Splenectomy may be averted by performing percutaneous drainage in early stage (13). Percutaneous drainage and, when indicated, splenectomy were performed in patients, who developed abscess.…”

Section: Discussionmentioning

confidence: 99%

Invasive Management of Abscess Due to Splenic Infarct: A Retrospective Analysis of Thirteen Cases

Karabacak¹,

Tamam²,

Balas³

et al. 2019

Haseki

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Splenic infarction is a rare condition successfully treated with medical methods in general. The aim of this study was to evaluate the invasive treatment options in patients with splenic infarction-associated abscess. Methods: Files of thirteen patients, who underwent percutaneous drainage or a surgical procedure due to abscess as a result of splenic infarction, were retrospectively reviewed. Age symptoms, results of physical and radiological examinations and therapeutic methods were analyzed. Results: A total of 13 patients with the mean age of 56±18 years were included in the study. Seven (54%) patients were female and six (46%) were male. Acute abdomen was observed in 11 patients (85%), and acute abdomen as well as high white blood cell (WBC) count (>15000/mL) in nine patients (70%). Percutaneous drainage was performed in five patients (39%) and splenectomy in eight patients (62%), all of whom were diagnosed with splenic abscess by means of computed tomography. There was no difference in age, gender, acute abdomen, WBC count, platelet count and mortality between patients who underwent splenectomy and percutaneous drainage group, whereas in the splenectomy group, the number of associated diseases was higher and the length of hospital stay was longer (p=0.017 and p=0.011, respectively). Conclusion: Percutaneous drainage and, when necessary, splenectomy should be performed in patients who develop abscess as a result of splenic infarct, whose general health conditions deteriorates and whose symptoms do not improve and who have high WBC count despite medical treatment.

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