title: Splenic abscess with Clostridium novyi bacteraemia and sepsis.
abstract: 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.
authors.affiliation: Intensive Care Department, Akademisch Ziekenhuis, Vrije Universiteit Brussel, Belgium.
authors.forename: W G
authors.initials: WG
authors.lastname: Vleminckx
authors.forename: M W
authors.initials: MW
authors.lastname: Diltoer
authors.forename: H D
authors.initials: HD
authors.lastname: Spapen
authors.forename: D
authors.initials: D
authors.lastname: Pierard
authors.forename: J
authors.initials: J
authors.lastname: De Mey
authors.forename: G R
authors.initials: GR
authors.lastname: Delvaux
authors.forename: L P
authors.initials: LP
authors.lastname: Huyghens
mesh_terms: 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