title: Splenic abscess: Plasmodium vivax with secondary Escherichia coli infection.
abstract: Splenic abscess is a rare clinical entity as described in literature. The incidence is in the range of 0.14-0.7% and it has a high mortality rate. Hence, it is important to know its clinical presentation and complications, so that it can be treated early. We report a 40-year-old diabetic man who presented with fever with chills and rigor for the last 9 days and heaviness in the left hypochondrium for the last 6 days. He was initially diagnosed as having splenomegaly due to Plasmodium vivax (P. vivax), but was later found to have a splenic abscess due to Escherichia coli (E. coli). This was successfully managed by catheter drainage (CD) and antibiotic treatment.
authors.affiliation: Senior Resident, Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India drlaxmikantucms@yahoo.com.
authors.forename: Laxmikant Ramkumarsingh
authors.initials: LR
authors.lastname: Tomar
authors.affiliation: Postgraduate Resident, Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
authors.forename: Ranjith
authors.initials: R
authors.lastname: Rajendran
authors.affiliation: Postgraduate Resident, Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
authors.forename: Santosh Kumar
authors.initials: SK
authors.lastname: Pandey
authors.affiliation: Assistant Professor, Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
authors.forename: Amitesh
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D018784:Abdominal Abscess / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D003924:Diabetes Mellitus, Type 2; D003937:Diagnosis, Differential; D004322:Drainage; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D016780:Malaria, Vivax / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D010966:Plasmodium vivax / Q000302:isolation & purification; D013158:Splenic Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology
keywords: Escherichia coli; Plasmodium vivax; Spleen abscess; urinary tract infection