A non-resolving splenic 'abscess' in an elderly male - An unusual manifestation of splenic lymphoma.

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 Doct

journal_title

Tropical doctor

authors

Nagarajan RK,Gopal B,Tajudeen M,Sistla SC,Balamourougan K

doi

10.1177/0049475520981305

subject

Has Abstract

pub_date

2020-12-25 00:00:00

pages

49475520981305

eissn

0049-4755

issn

1758-1133

pub_type

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