Belknap Aaron R, Guileyardo Joseph
Department of Pathology, Baylor University Medical Center at Dallas, Texas.
Proc (Bayl Univ Med Cent). 2017 Apr;30(2):173-174. doi: 10.1080/08998280.2017.11929572.
Splenic abscess is a rare complication of systemic infection, sometimes associated with infective endocarditis. Due to its rarity and nonspecific symptoms, diagnosis is difficult. Antibiotic therapy alone is usually unsuccessful, and definitive treatment requires splenectomy, although percutaneous ultrasound-guided drainage has been successful in some patients. Abdominal computed tomography scans and ultrasound evaluation are usually diagnostic. We present two patients with treatment-resistant sepsis who were found at autopsy to have splenic abscess.
脾脓肿是全身感染的一种罕见并发症，有时与感染性心内膜炎相关。由于其罕见性及非特异性症状，诊断困难。单独使用抗生素治疗通常不成功， definitive treatment需要脾切除术，尽管经皮超声引导下引流在一些患者中已获成功。腹部计算机断层扫描和超声评估通常具有诊断价值。我们报告了两名患有难治性脓毒症的患者，尸检时发现患有脾脓肿。
