Abstract:
:Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenomegaly and low-grade fever with no predisposing factors. Examination revealed a tender splenomegaly. Ultrasonography (US) showed a hypoechoic area within the spleen from which guided aspiration of pus grew Staphylococcus aureus and Klebsiella pneumoniae. Percutaneous drainage and culture-based antibiotics failed to resolve the abscess, obligating surgical drainage. Intraoperative biopsy from the abscess wall was reported as splenic marginal lymphoma. This unusual presentation of lymphoma needs to be considered in splenic abscess without known risk factors.
journal_name
Trop Doctjournal_title
Tropical doctorauthors
Nagarajan RK,Gopal B,Tajudeen M,Sistla SC,Balamourougan Kdoi
10.1177/0049475520981305subject
Has Abstractpub_date
2020-12-25 00:00:00pages
49475520981305eissn
0049-4755issn
1758-1133pub_type
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