[Splenic abscess: etiology, diagnosis and possible therapeutics].
We report the case of a 28-year-old intravenous drug abuser under quadritherapy for stage C3 AIDS and with past history of infectious endocarditis. He was admitted with a diminished general condition, weight loss, progressive unbearable abdominal pain and vomiting, without fever. An inflammatory syndrome is noted and imaging reveals a voluminous splenic abscess. Conservative treatment is initiated with repetitive drainages and intravenous antibiotics. Aetiologies, diagnosis and possible therapeutics of splenic abscesses are discussed.
Burnier
C
C
Service de Médecine Interne, Département de Médecine, CHUV, Lausanne.
Ribordy-Baudat
V
V
Lamy
O
O
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000628:therapy; D018784:Abdominal Abscess / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis* / Q000628:therapy; D003131:Combined Modality Therapy; D004322:Drainage; D016972:Enterobacter cloacae; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000628:therapy; D016983:Enterococcus; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D013158:Splenic Diseases / Q000175:diagnosis* / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000628:therapy; D015819:Substance Abuse, Intravenous / Q000150:complications; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D013287:Illicit Drugs