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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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 |
work_keys_str_mv |
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