Multiple splenic abscesses in a child with enteric fever treated by percutaneous aspiration and antibiotics

Kanwal, Sandeep Kumar; Kaur, Sukhjeet; Kumar, Virendra

doi:10.4103/1755-6783.98628

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…But only very few of them had multiple splenic abscesses. In India, R Chaudhari et al, Kirti M Naranje et al, and Sandeepkumar Kanwal et al, reported typhoid fever with multiple splenic abscesses [7,8,9]. The abscess which is caused by Salmonella tends to be associated with sickle cell disease, IV drug abusers, an impaired host resistance, subacute bacterial endocarditis, trauma , diabetes mellitus, urinary tract infections, skin sepsis, respiratory tract infections and immunodeficiency.…”

Section: Discussionmentioning

confidence: 99%

A Splenic Abscess which was Caused by Salmonella Typhi in a Non Sickler Patient: A Rare Case Finding

Bhongle¹

2013

JCDR

View full text Add to dashboard Cite

A splenic abscess which is caused by Salmonella typhi is a very rare complication of typhoid fever. We are reporting a case of a 14 year old female who presented with fever and pain in the abdomen. She was treated for fever of unknown origin in a rural hospital and was then admitted to our hospital after 15 days . She complained of fever and pain in the abdomen. On ultrasound, multiple splenic abscesses were seen. A USG guided aspiration was done and the aspirated material was received for culture, which was found to be positive for Salmonella typhi. A blood and stool culture which were done were negative and the Widal test showed a positive result with titres of TO 1:320 and TH 1:320.No predisposing factor was found in our case. Sickling was negative and HIV and HBsAg screening showed negative results. She responded favourably to the antibiotics which were given as per our antibiotic sensitivity report.

show abstract

Section: Discussionmentioning

confidence: 99%

A Splenic Abscess which was Caused by Salmonella Typhi in a Non Sickler Patient: A Rare Case Finding

Bhongle¹

2013

JCDR

View full text Add to dashboard Cite

show abstract

“…Percutaneous drainage is more preferable than surgical drainage due to the lack of postoperative complications, shorter hospital stay and lower treatment costs (13) . In the case of failure of any of these methods, partial or total splenectomy remains the standard, especially in multiple splenic abscesses (25% of cases) (15) . Although antibiotic therapy is an obligatory element of all these treatment modalities, it is not a substitute for invasive treatment.…”

Section: Discussionmentioning

confidence: 99%

Splenic abscess in a child as a cause of fever of unknown origin

Będzichowska¹,

Wawrzyniak²,

Bil³

et al. 2019

Pediatr Med Rodz

View full text Add to dashboard Cite

Splenic abscess is a rare condition, with peak incidence in the third and sixth decade of life. It is significantly less common in children than in adults. The main causes of abscess include multiorgan infections, immune deficiency, and trauma. Coexisting diabetes, infective endocarditis and immune deficiency are adverse prognostic factors. Aetiological factors of splenic abscess include aerobic and anaerobic bacteria and fungi. The symptoms of splenic abscess are non-specific and include abdominal pain in the upper-left-quadrant, fever, splenomegaly, and increased inflammatory markers. The diagnosis is confirmed by abdominal sonographic and computed tomography findings. Conservative (antibiotic therapy) and surgical (drainage and splenectomy) treatment is used. Splenic abscess is an exceptionally dangerous condition in which early, correct diagnosis and treatment can reduce mortality from several dozen to less than 10%. The presented case illustrates the course of disease in a 6-year-old boy, emphasising the need to include splenic abscess in the differential diagnosis of fever of unknown origin.

show abstract