Experience with Splenic Abscess from Southern India

Introduction: Splenic abscess is a rare entity with potentially life threatening complications. Sparse recent published data are available documenting the aetiological profile and management of patients with splenic abscess from India. Aim: To study the clinical profile of splenic abscess. Mate...

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Main Authors: Mallikarjuna Shetty, Swaroopa Deme, KNKJ Mohan, Krishna Prasad Adiraju, Nageswar Rao Modugu, Naval Chandra, AMVR Narendra, Sathyanarayana Raju Yadati
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/8628/22108_CE[Ra1]_F(GH)_PF1(SHAK)_PFA(AK)_PF2(PAG).pdf
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spelling doaj-ca804f5c34684e6b9fd27960687f61c52020-11-25T03:38:25ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-10-011010OC22OC2510.7860/JCDR/2016/22108.8628Experience with Splenic Abscess from Southern IndiaMallikarjuna Shetty0Swaroopa Deme1KNKJ Mohan2Krishna Prasad Adiraju3Nageswar Rao Modugu4Naval Chandra5AMVR Narendra6Sathyanarayana Raju Yadati7Associate Professor, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Assistant Professor, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Resident, Department of Neurology, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Professor, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Professor, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Additional Professor, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Additional Professor, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Professor & Head, Department of General Medicine, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India.Introduction: Splenic abscess is a rare entity with potentially life threatening complications. Sparse recent published data are available documenting the aetiological profile and management of patients with splenic abscess from India. Aim: To study the clinical profile of splenic abscess. Materials and Methods: We retrospectively collected data from case records of admitted patients with splenic abscesses, to Nizam’s Institute of Medical Sciences and Hospital which is a multispecialty, tertiary care referral hospital over a period of 15 months (from March 2014 to May 2015) and parameters studied were age, sex, symptoms, signs, risk factors, investigations like Ultrasound, CT scan, blood & microbiological culture, treatment and outcome. Results: Most common presenting symptom was fever (90%). Mean age was 33.5 years. Five patients (55%) had risk factors like HIV, leukaemia and diabetes. From pus culture Escherichia coli was the most common organism (22%) grown. Staphylococcus saureus, Enterococcus faecium were seen in one each, blood culture grown Cryptococcus neoformans, Pseudomonas aeroginosa in one each, Plasmodium falciparum was seen on peripheral smear in one. Three were empirically treated as disseminated koch’s. Another was treated as possible infective endocarditis. All were given antimicrobials, five (55%) were treated with antimicrobials alone, three (33%) with PCD (Per Cutaneous Drainage) and one (11%) with subtotal splenectomy. All patients recovered. Conclusion: With early diagnosis and increased use of ultrasound guided procedures like aspiration or drainage, spleenectomy can be avoided. Optimal treatment for splenic abscess is yet to be defined and customized to each patient.https://jcdr.net/articles/PDF/8628/22108_CE[Ra1]_F(GH)_PF1(SHAK)_PFA(AK)_PF2(PAG).pdfpercutaneous drainagemortalityspleenectomy
collection DOAJ
language English
format Article
sources DOAJ
author Mallikarjuna Shetty
Swaroopa Deme
KNKJ Mohan
Krishna Prasad Adiraju
Nageswar Rao Modugu
Naval Chandra
AMVR Narendra
Sathyanarayana Raju Yadati
spellingShingle Mallikarjuna Shetty
Swaroopa Deme
KNKJ Mohan
Krishna Prasad Adiraju
Nageswar Rao Modugu
Naval Chandra
AMVR Narendra
Sathyanarayana Raju Yadati
Experience with Splenic Abscess from Southern India
Journal of Clinical and Diagnostic Research
percutaneous drainage
mortality
spleenectomy
author_facet Mallikarjuna Shetty
Swaroopa Deme
KNKJ Mohan
Krishna Prasad Adiraju
Nageswar Rao Modugu
Naval Chandra
AMVR Narendra
Sathyanarayana Raju Yadati
author_sort Mallikarjuna Shetty
title Experience with Splenic Abscess from Southern India
title_short Experience with Splenic Abscess from Southern India
title_full Experience with Splenic Abscess from Southern India
title_fullStr Experience with Splenic Abscess from Southern India
title_full_unstemmed Experience with Splenic Abscess from Southern India
title_sort experience with splenic abscess from southern india
publisher JCDR Research and Publications Private Limited
series Journal of Clinical and Diagnostic Research
issn 2249-782X
0973-709X
publishDate 2016-10-01
description Introduction: Splenic abscess is a rare entity with potentially life threatening complications. Sparse recent published data are available documenting the aetiological profile and management of patients with splenic abscess from India. Aim: To study the clinical profile of splenic abscess. Materials and Methods: We retrospectively collected data from case records of admitted patients with splenic abscesses, to Nizam’s Institute of Medical Sciences and Hospital which is a multispecialty, tertiary care referral hospital over a period of 15 months (from March 2014 to May 2015) and parameters studied were age, sex, symptoms, signs, risk factors, investigations like Ultrasound, CT scan, blood & microbiological culture, treatment and outcome. Results: Most common presenting symptom was fever (90%). Mean age was 33.5 years. Five patients (55%) had risk factors like HIV, leukaemia and diabetes. From pus culture Escherichia coli was the most common organism (22%) grown. Staphylococcus saureus, Enterococcus faecium were seen in one each, blood culture grown Cryptococcus neoformans, Pseudomonas aeroginosa in one each, Plasmodium falciparum was seen on peripheral smear in one. Three were empirically treated as disseminated koch’s. Another was treated as possible infective endocarditis. All were given antimicrobials, five (55%) were treated with antimicrobials alone, three (33%) with PCD (Per Cutaneous Drainage) and one (11%) with subtotal splenectomy. All patients recovered. Conclusion: With early diagnosis and increased use of ultrasound guided procedures like aspiration or drainage, spleenectomy can be avoided. Optimal treatment for splenic abscess is yet to be defined and customized to each patient.
topic percutaneous drainage
mortality
spleenectomy
url https://jcdr.net/articles/PDF/8628/22108_CE[Ra1]_F(GH)_PF1(SHAK)_PFA(AK)_PF2(PAG).pdf
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