Splenic abscess with Clostridium novyi bacteraemia and sepsis.
Splenic abscess is an uncommon entity and usually results in the death of the patient when left undiagnosed. A case is presented where bacteraemia with an anaerobic Gram-positive bacillus was associated with splenic abscess. Despite treatment with splenectomy and antibiotics the patient developed a multiple organ dysfunction syndrome (MODS) and died. Of particular interest was the isolation of Clostridium novyi type A from the blood in a patient without gas gangrene but with splenic suppuration.
Vleminckx
W G
WG
Intensive Care Department, Akademisch Ziekenhuis, Vrije Universiteit Brussel, Belgium.
Diltoer
M W
MW
Spapen
H D
HD
Pierard
D
D
De Mey
J
J
Delvaux
G R
GR
Huyghens
L P
LP
D018784:Abdominal Abscess / Q000175:diagnosis*; D016470:Bacteremia / Q000175:diagnosis*; D003015:Clostridium Infections / Q000175:diagnosis*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis*; D018805:Sepsis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed