Splenic Abscess

Splenic abscess is a rare serious focal infection of the spleen, usually from hematogenous seeding of infection, contiguous spread, or infection of a splenic infarct; common organisms include Staphylococcus, Streptococcus, E. coli and anaerobes; risk factors: endocarditis, immunocompromise, trauma, diabetes. Clinical: fever, left-upper-quadrant pain, leukocytosis.

Common Symptoms

Fever; left-upper-quadrant pain; leukocytosis; splenomegaly; sepsis

Causes and Pathogenesis

Hematogenous seeding (endocarditis), contiguous spread, infected infarct, immunosuppression lead to localized pus collection in spleen.

Treatment

Broad-spectrum antibiotics; percutaneous drainage or splenectomy

Preventive Measures

Prompt treatment of endocarditis/bacteremia; control diabetes; immunosuppressed surveillance.

Department to Visit

It is recommended to visit the Infectious Diseases department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.