Ooi L L, Nambiar R, Rauff A, Mack P O, Yap T L
Department of Surgery, Singapore General Hospital.
Aust N Z J Surg. 1992 Oct;62(10):780-4. doi: 10.1111/j.1445-2197.1992.tb06917.x.
Isolated splenic abscess is an uncommon condition. Seven cases seen between 1980 and 1990 are reviewed. The clinical presentation is non-specific and diagnosis is usually delayed. Computerized tomography allowed for accurate diagnosis in all cases. Pseudomonas species as a causative organism is reported to be rare, but were present in three of the present cases. Antibiotic therapy alone is insufficient and splenectomy remains the treatment of choice.
孤立性脾脓肿是一种罕见的病症。本文回顾了1980年至1990年间所见的7例病例。临床表现无特异性，诊断通常会延迟。计算机断层扫描在所有病例中都能实现准确诊断。据报道，作为致病微生物的假单胞菌属很罕见，但在本病例中有3例存在。仅用抗生素治疗是不够的，脾切除术仍然是首选的治疗方法。
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