Pediatr. praxi. 2010;11(5):339-341
Splenic abscess as a manifestation of generalised infection
- 1 Dětská klinika LF UP a FN v Olomouci
- 2 Radiologická klinika LF UP a FN v Olomouci
- 3 Ortopedická klinika LF UP a FN Olomouc
- 4 Dětské oddělení Krajské nemocnice T. Bati Zlín
The authors describe a 16-year-old boy with a one week history of fever up to 40 °C and right hip pains. Patient was admitted to a regional
hospital with evolving sepsis accompained with marks of disseminated intravascular coagulation. By means of imaging methods
small pelvis fluid, left pneumonia with fluidothorax and splenic abscess were found. Because of acute respiratory distress syndrome
the patient was transfered to pediatric clinic. Microbiological culturing reveald presence of Peptostreptococcus sp. and purulent
exudate cultivation obtained from right hip joint Staphylococcus aureus. Antibiotic treatment with respect of cultured bacteria led to
complete cure of sepsis, pleuropneumonia, pyarthrosis of the left hip and splenic abscess.
Keywords: splenic abscess, child, sepsis, Staphylococcus aureus, Peptostreptococcus sp., pyarthrosis of the hip
Published: October 15, 2010 Show citation
References
- Brook I. Intra-abdominal, retroperitoneal, and visceral abscesses in children. Eur J Pediatr Surg 2004; 14: 265-273.
Go to original source... 
Go to PubMed... - Llenas-Garciá J, Fernández-Ruiz M, Caurcel L, et al. Splenic abscess: a review of 22 cases in a single institution. Eur J Intern Med 2009; 20: 537-539. Go to original source... Go to PubMed...
- Rattan KN, Kadian YS, Saroha V, Jindal N. Splenic abscess in children. A report of three patiens. Afr J Pediatr Surg 2009; 6: 106-109. Go to original source... Go to PubMed...
- Choudhury SR, Debnath PR, Jain P, et al. Conservative management of isolated splenic abscess in children. J Pediatr Surg 2010; 45: 372-375. Go to original source... Go to PubMed...
- Ferraioli G, Bruneti E, Gulizia R, et al. Management of splenic abscess: report on 16 cases from a single center. Int J Infec Dis 2009; 13: 524-530. Go to original source... Go to PubMed...
- Faught WE, Gilbertson JJ, Nelson EW. Splenic abscess: presentation, treatment options, and results. Am J Surg 1989; 158(6): 612-614. Go to original source... Go to PubMed...
- Cheng-Cheng T, Feng-Chi C, Chiny-Jeh L. Splenic abscess: an easily overlooked disease? Am Surg 2006; 72: 322-325. Go to original source... Go to PubMed...
- Philips GS, Radosevich MD, Lipsett PA. Another look at an old disease. Arch Surg 1997; 132(12): 1331-1336. Go to original source... Go to PubMed...
- Zerem E, Bergsland J. Ultrasound guided percutaneous treatment for splenic abscesses: the significance in treatment of critically ill patiens. World J Gastroenetrol 2006; 12(45): 7341-7345. Go to original source... Go to PubMed...