Splenic abscess due to Streptococcus anginosus. Case report

Lombardi, Assunta and Coppola, Marcello and Pennica, Alfredo and Maglio, Riccardo and Moscaroli, Alessandra and Lo Russo, Marzia and Provenza, Giuseppe (2008) Splenic abscess due to Streptococcus anginosus. Case report. Il giornale di chirurgia, 29 (8). pp. 359-361. ISSN 1971-145X

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Abstract

Splenic abscess is a rare condition. Haematogenous seeding to the spleen from an infection at a distant site, most often endocarditis, is been the most common predisposing condition but an increase has been observed in immuno-compromised patients too. Fever, leukocytosis and left upper quadrant pain are suggestive, but the signs and symptoms of splenic abscesses are often non-specific. Rare is the onset with diarrhoea as in our case. Ultrasound and computed tomography are reliable diagnostic tools. Splenectomy and antibiotics are the treatments of choice. We describe a case of splenic abscess with gas level and peritonitis from dissemination of Streptococcus anginosus (of Streptococcus millerii group) from duodenal ulcer contamined. It was diagnosed with CT, ultrasound, and abdomen X-ray with contrast then treated with splenectomy and peritoneal lavage

Item Type:	Article
Uncontrolled Keywords:	Splenic abscess, Peritonitis, Streptococcus anginosus
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	05 Jul 2013 12:34
Last Modified:	05 Jul 2013 12:34
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5420

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