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Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration
BACKGROUND: Splenic abscesses are rare and potentially fatal. Diagnosis is often delayed due to vague symptoms, and laboratory findings are varying and often nonspecific. Ultrasound and computed tomography have a high sensitivity in detecting splenic abscesses. Splenectomy was previously considered...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027457/ https://www.ncbi.nlm.nih.gov/pubmed/36949862 http://dx.doi.org/10.1155/2023/8802760 |
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author | Jørgensen, Anne Sofie Steinbring Arsic, Ivan Pedersen, Niels Kristensen, Lena Hagelskjær Nielsen, Michael F. Balslev, Thomas |
author_facet | Jørgensen, Anne Sofie Steinbring Arsic, Ivan Pedersen, Niels Kristensen, Lena Hagelskjær Nielsen, Michael F. Balslev, Thomas |
author_sort | Jørgensen, Anne Sofie Steinbring |
collection | PubMed |
description | BACKGROUND: Splenic abscesses are rare and potentially fatal. Diagnosis is often delayed due to vague symptoms, and laboratory findings are varying and often nonspecific. Ultrasound and computed tomography have a high sensitivity in detecting splenic abscesses. Splenectomy was previously considered the gold standard for treatment, but in recent years, a shift has been seen towards a more conservative approach, i.e., ultrasound-guided aspiration or drainage in combination with adequate antibiotics in selected cases. Case Report. A previously healthy adolescent complained of left-sided chest pain, pain in the left clavicular region for three weeks, and recent fever. Ultrasound and computed tomography demonstrated an intrasplenic abscess. The patient was successfully treated with two percutaneous fine-needle punctures and adequate antibiotics for six weeks. Salmonella enterica serotype Poona was grown from the aspirate. At one-year follow-up, the patient remained healthy without signs of recurrence. CONCLUSION: The present case report demonstrates that ultrasound-guided aspiration and subsequent treatment with antibiotics may be an effective alternative to splenectomy in patients with a splenic abscess. |
format | Online Article Text |
id | pubmed-10027457 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-100274572023-03-21 Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration Jørgensen, Anne Sofie Steinbring Arsic, Ivan Pedersen, Niels Kristensen, Lena Hagelskjær Nielsen, Michael F. Balslev, Thomas Case Rep Pediatr Case Report BACKGROUND: Splenic abscesses are rare and potentially fatal. Diagnosis is often delayed due to vague symptoms, and laboratory findings are varying and often nonspecific. Ultrasound and computed tomography have a high sensitivity in detecting splenic abscesses. Splenectomy was previously considered the gold standard for treatment, but in recent years, a shift has been seen towards a more conservative approach, i.e., ultrasound-guided aspiration or drainage in combination with adequate antibiotics in selected cases. Case Report. A previously healthy adolescent complained of left-sided chest pain, pain in the left clavicular region for three weeks, and recent fever. Ultrasound and computed tomography demonstrated an intrasplenic abscess. The patient was successfully treated with two percutaneous fine-needle punctures and adequate antibiotics for six weeks. Salmonella enterica serotype Poona was grown from the aspirate. At one-year follow-up, the patient remained healthy without signs of recurrence. CONCLUSION: The present case report demonstrates that ultrasound-guided aspiration and subsequent treatment with antibiotics may be an effective alternative to splenectomy in patients with a splenic abscess. Hindawi 2023-03-13 /pmc/articles/PMC10027457/ /pubmed/36949862 http://dx.doi.org/10.1155/2023/8802760 Text en Copyright © 2023 Anne Sofie Steinbring Jørgensen et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Jørgensen, Anne Sofie Steinbring Arsic, Ivan Pedersen, Niels Kristensen, Lena Hagelskjær Nielsen, Michael F. Balslev, Thomas Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration |
title | Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration |
title_full | Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration |
title_fullStr | Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration |
title_full_unstemmed | Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration |
title_short | Splenic Abscess in an Adolescent due to Salmonella enterica Conservatively Treated with Ultrasound-Guided Fine-Needle Aspiration |
title_sort | splenic abscess in an adolescent due to salmonella enterica conservatively treated with ultrasound-guided fine-needle aspiration |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027457/ https://www.ncbi.nlm.nih.gov/pubmed/36949862 http://dx.doi.org/10.1155/2023/8802760 |
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