Splenic Infarction and Abscess in the Setting of Infective Endocarditis

Ebright, John R.; Alam, Ejaz; Ahmed, Huma; Tucker, Rennard B.; Abrams, Judith

doi:10.1097/ipc.0b013e31802b6894

Cited by 17 publications

(17 citation statements)

References 16 publications

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“…However, successful therapeutic results have also been obtained recently by means of aspirations under CT guidance. Nevertheless, this procedure did not eliminate the need for splenectomy [4]. In our case, we managed treatment successfully by means of CTguided aspiration with teicoplanin administration.…”

Section: Discussionmentioning

confidence: 75%

“…Nevertheless, the likelihood of splenic abscess formation is very low, even in IE cases [1][2][3][4]11]. In one study, splenic abscesses occurred in only 27 (4.8%) of 564 documented cases of IE [2].…”

Section: Discussionmentioning

confidence: 99%

“…Splenic abscesses are usually managed by a combination of antibiotic therapy and splenectomy [1][2][3]. Splenectomy is the hallmark of the management, but occasionally successful treatment by computed tomography (CT)-guided percutaneous aspiration and drainage only is accomplished without splenectomy [4]. Splenic abscesses caused by methicillin-resistant Staphylococcus aureus (MRSA) have rarely been reported.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Splenic abscess caused by MRSA developing in an infarcted area: case report and literature review

Arslan

Batırel

Tabak

et al. 2011

Journal of Infection and Chemotherapy

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Splenic abscess caused by MRSA developing in an infarcted area: case report and literature review

Arslan

Batırel

Tabak

et al. 2011

Journal of Infection and Chemotherapy

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“…Generalmente se tratan con antibioterapia y esplenectomía. El drenaje percutáneo guiado por TC se emplea en ocasiones de forma satisfactoria, aunque no ha reemplazado a la esplenectomía como tratamiento estándar 6 .…”

Section: Introductionunclassified

“…Los síntomas incluyen dolor en hipocondrio izquierdo, dolor referido al hombro izquierdo y sensación de saciedad precoz. La presencia de dolor agudo pleurítico en el cuadrante superior izquierdo del abdomen junto con fiebre sugiere periesplenitis o absceso esplénico que puede acompañarse de derrame pleural izquierdo 6 .…”

Section: Introductionunclassified

Lesiones esplénicas en medicina interna

Álvaro

Sánchez

Martínez

et al. 2014

Anales Sis San Navarra

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ResuMenEl bazo representa el mayor órgano linfopoyético, contiene el 25% de la masa linfoide total. Participa en la inmunidad celular y humoral e interviene en la renovación de los glóbulos rojos y en la eliminación de las bacterias. Las funciones esplénicas están reducidas cuando el bazo está ausente, lo que implica entre otras complicaciones, una mayor susceptibilidad para padecer una sepsis por organismos encapsulados.Se presentan 6 casos clínicos ingresados en el servicio de Medicina Interna con patología esplénica y se hace una revisión del abordaje a realizar.El espectro de lesiones esplénicas en medicina interna es muy amplio. En ocasiones se puede sospechar patología esplénica por la historia clínica, la exploración física o por citopenias en los análisis. Disponemos de diversas pruebas complementarias para completar el estudio de dichas lesiones. En caso de duda diagnóstica se puede realizar esplenectomía siendo los diagnósticos más frecuentes la cirrosis hepática y el linfoma/leucemia. Palabras clave. Bazo. Esplenomegalia. Hiperesplenismo. Esplenectomía. abstRactThe spleen is the largest lymphopoietic organ, containing 25% of total lymphoid mass. It participates in cellular and humoral immunity and intervenes in the renovation of red cells and the elimination of bacteria. Splenic functions are reduced when the spleen is absent, which entails, amongst other complications, greater susceptibility to suffering from sepsis due to encapsulated organisms.We present 6 clinical cases admitted to the Internal Medicine serve with splenic pathology and we make a review of the approach to be used.The spectrum of splenic lesions in internal medicine is very wide. On occasions, a splenic pathology can be suspected due to clinical history, physical exploration or because of cytopenias in the analyses. Different complementary tests are available for completing study of these lesions. A splenectomy can be carried out in case of diagnostic doubt, with the most frequent diagnoses being hepatic cirrhosis and lymphoma/leukaemia.

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感染性心内膜炎による脾炎からの脾臓破裂を来した1例(A case of splenic rupture owing to splenitis caused by infective endocarditis)

友則

尚重

俊輔

2022

Nihon Kyukyu Igakukai Zasshi: Japanese Journal of Japanese Asso

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要旨感染性心内膜炎の合併症として，まれではあるが脾臓破裂がある。脾臓破裂は，感染性心内膜炎のために，脾臓に梗塞，膿瘍，感染性動脈瘤を形成し，その後破裂することが多いとされる。しかし，今回我々は，梗塞，膿瘍，感染性動脈瘤形成が認められず，感染性心内膜炎からの脾炎による脾臓破裂というまれな症例を経験したので報告する。症例は55歳の男性。発熱を主訴に入院し，血液培養でStreptococcus oralisが検出され，心臓超音波検査で僧帽弁に15mm大の疣贅を認め感染性心内膜炎と診断され，抗菌薬治療を行っていた。重度の僧帽弁逆流症を認めており，早期手術の方針であった。しかし，術前検査中に急性期脳梗塞，脳出血を認めたため，待機的手術の方針に変わった。その後の入院中に突然左側腹部痛と血圧低下を認め，ショック状態となり，CTで脾臓出血の診断で緊急脾臓摘出術が行われた。摘出脾臓の病理診断では，梗塞，膿瘍，感染性動脈瘤は認められず，びまん性に好中球浸潤が散見され，急性脾炎からの脾臓破裂と診断された。

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Splenic Infarction and Abscess in the Setting of Infective Endocarditis

Cited by 17 publications

References 16 publications

Splenic abscess caused by MRSA developing in an infarcted area: case report and literature review

Splenic abscess caused by MRSA developing in an infarcted area: case report and literature review

Lesiones esplénicas en medicina interna

感染性心内膜炎による脾炎からの脾臓破裂を来した1例(A case of splenic rupture owing to splenitis caused by infective endocarditis)

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