title: Splenic abscess associated with infective endocarditis; Case series.
abstract: Splenic abscess is a well-described but rare complication of infective endocarditis. Rapid diagnosis and treatment are essential as its course can be fatal. We present three case reports that describe the management of splenic abscesses in patients initially diagnosed with infective endocarditis. In all cases, the diagnosis was based on the findings of abdominal computed tomography (CT) scan or magnetic resonance imaging (MRI). In two of the cases, splenectomy was performed before valve surgery; while in the third case, the spleen was removed after cardiac surgery. All three patients recovered fully, with satisfactory follow-up as outpatients. Immediate splenectomy, combined with appropriate antibiotics and valve replacement surgery alongside multi-disciplinary team work could be the treatment of choice in this clinical scenario.
authors.affiliation: Prince Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia ; Faculty of Medicine, Tanta University, Egypt.
authors.forename: Abdelfatah
authors.initials: A
authors.lastname: Elasfar
authors.affiliation: Prince Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia.
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: AlBaradai
authors.affiliation: Prince Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia.
authors.forename: Ziyad
authors.initials: Z
authors.lastname: AlHarfi
authors.affiliation: Prince Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia ; Faculty of Medicine, Benha University, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Alassal
authors.affiliation: Prince Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia ; Faculty of Medicine, Alazhar University, Cairo, Egypt.
authors.forename: Ayman
authors.initials: A
authors.lastname: Ghoneim
authors.affiliation: Prince Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia.
authors.forename: Fahad
authors.initials: F
authors.lastname: AlGhofaili
keywords: Infective endocarditis; Splenic abscess