Multiple splenic abscesses in 2 patients with myelodysplastic syndrome.
Splenic abscess is a rare clinical condition with a high mortality rate. Multiple splenic abscesses, rather than a solitary abscess, are present in immunocompromised states including hematological malignancies. As symptoms of splenic abscesses, fever and abdominal pain, are non-specific, timely and adequate use of imaging studies is crucial for early diagnosis. We report the cases of 2 patients with myelodysplastic syndrome and multiple splenic abscesses. Notwithstanding the higher mortality rate of patients with multiple splenic abscesses as compared with those with a solitary splenic abscess, we successfully treated the 2 patients by using antibiotic therapy and fine needle aspiration.
Department of Hematology, Osaka Red Cross Hospital, Japan. go.tatsumi@osaka-med.jrc.or.jp
Goichi
G
Tatsumi
Mitsumasa
M
Watanabe
Hitomi
H
Kaneko
Hirokazu
H
Hirata
Mitsuru
M
Tsudo
D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000150:complications* / Q000276:immunology; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
D000900:Anti-Bacterial Agents