Splenic abscess caused by group A beta-haemolytic streptococcus.
A case of a pyoderma complicated with splenic abscess and bacteraemia caused by group A streptococcus was treated successfully with antibiotics alone for 4 weeks. To our knowledge, this is the first reported case of splenic abscess associated with group A streptococcal bacteraemia. Advances in antibiotic therapy and imaging techniques have improved the management and outcomes of splenic abscesses. Clinicians should be aware of the possibility of splenic abscess after a pyoderma or a sepsis-like episode.


CONCLUSIONS
Splenic abscesses can be diagnosed by serial ultrasound or CT scan examinations and should be treated with antibiotics for 4-6 weeks.
Chang
K W
KW
Department of Paediatrics, Chang Gung Children's Hospital, Kweishan, Taoyuan, Taiwan.
Chiu
C H
CH
Jaing
T H
TH
Wong
H F
HF
D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology*; D002648:Child; D006801:Humans; D008297:Male; D011711:Pyoderma / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology*; D013158:Splenic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*