Namba Sayaka, Matsubara Keita, Asagai Seiji, Shoji Michi, Okada Takafumi, Matsushima Takahiro, Komiyama Osamu, Iwata Satoshi
Department of Pediatrics, National Hospital Organization Tokyo Medical Center.
Kansenshogaku Zasshi. 2010 Jan;84(1):69-72. doi: 10.11150/kansenshogakuzasshi.84.69.
Salmonella enterica serovar Senftenberg may very rarely cause splenic abscess, which can be diagnosed using gallium scintigraphy and drained. A 14-year-old boy admitted for stomachache, diarrhea and fever and diagnosed from his symptoms as having enteritis did not respond when treated with fosfomycin, meropenem, and clindamycin. A low-density splenic area seen in abdominal computed tomography on admission did not show contrast medium enhancement. Gallium scintigraphy on hospital day 10, however, showed abnormal splenic accumulation confirming the splenic abscess diagnosis, after which we punctured and drained the abscessout. S. Senftenberg was isolated from pus aspirated pus from the abscess, after which responded well to ceftriaxone and levofloxacin. Follow-up gallium scintigraphy on hospital day 24 showed that the abnormal splenic accumulation had disappeared, after which he has been followed up with abdominal ultrasonography and blood tests as an outpatient. He has experienced no relapse of splenic abscess.
肠炎沙门氏菌斯坦弗伯格血清型极罕见地可引起脾脓肿，脾脓肿可通过镓闪烁扫描诊断并进行引流。一名14岁男孩因腹痛、腹泻和发热入院，根据症状诊断为肠炎，使用磷霉素、美罗培南和克林霉素治疗无效。入院时腹部计算机断层扫描显示脾脏有低密度区，未显示造影剂增强。然而，在住院第10天进行的镓闪烁扫描显示脾脏有异常聚集，确诊为脾脓肿，之后我们对脓肿进行了穿刺引流。从脓肿抽出的脓液中分离出肠炎沙门氏菌斯坦弗伯格血清型，之后对头孢曲松和左氧氟沙星反应良好。住院第24天的随访镓闪烁扫描显示脾脏异常聚集消失，之后作为门诊患者对其进行腹部超声检查和血液检查随访。他的脾脓肿未复发。
