Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam.
J Microbiol Immunol Infect. 2012 Apr;45(2):151-3. doi: 10.1016/j.jmii.2011.09.007. Epub 2011 Dec 9.
Splenic abscess is uncommon and is still associated with significant morbidity and mortality. Gram-negative bacilli are the most commonly isolated organisms, followed by Gram-positive cocci. However, the predominant organisms found depend on the geographic location. Shewanella putrefaciens is a Gram-negative non-fermentative oxidative bacillus found in the environment. Infection usually manifests with a number of clinical syndromes, most commonly as skin or soft tissue infections, typically in patients whose immune system is compromised. Intra-abdominal abscess is extremely rare. We report a case of a 22-year-old female who presented with S. putrefaciens splenic abscesses as the first manifestation of diabetes mellitus, which was successfully managed with a course of antibiotic therapy.
脾脓肿并不常见，但仍与较高的发病率和死亡率相关。革兰氏阴性杆菌是最常分离到的病原体，其次是革兰氏阳性球菌。然而，主要病原体的发现取决于地理位置。腐败希瓦氏菌是一种环境中存在的革兰氏阴性非发酵氧化杆菌。感染通常表现为多种临床综合征，最常见的是皮肤或软组织感染，通常发生在免疫系统受损的患者中。腹腔内脓肿极为罕见。我们报告了一例 22 岁女性患者，她最初表现为糖尿病，其脾脓肿是由腐败希瓦氏菌引起的，经抗生素治疗后成功治愈。
