Department of Medicine, Father Muller Medical College, Mangalore - 575002, India.
Asian Pac J Trop Med. 2012 Dec;5(12):1004-6. doi: 10.1016/S1995-7645(12)60191-6.
Splenic abscesses are increasingly being identified, possibly due to widespread use of imaging modalities in clinical practice. The commonest clinical features are high grade fever and exclusively localised left upper quadrant abdominal pain. These symptoms are similar to most infectious diseases prevalent in the tropics, making imaging by ultrasonography or computer tomography a necessity in the diagnosis. There are reports from different geographic areas on splenic abscesses associated with typhoid fever. We reported ruptured splenic abscess presenting with peritonitis as a rare and grave complication of typhoid fever.
脾脓肿的发病率日益增高，这可能与临床影像学的广泛应用有关。最常见的临床特征是高热和局限于左上腹的疼痛。这些症状与热带地区大多数传染病相似，因此超声或 CT 检查对于诊断是必要的。不同地理区域均有报道称脾脓肿与伤寒有关。我们报告了一例因伤寒导致的破裂性脾脓肿并发腹膜炎，这是一种罕见且严重的并发症。
