Division of Digestive Surgery, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 14, Switzerland.
Division of Infectious Diseases, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 14, Switzerland.
BMC Infect Dis. 2019 Sep 5;19(1):777. doi: 10.1186/s12879-019-4406-4.
Splenic abscess usually arises from hematogenous spread. Causative pathogens are various and anaerobic pathogens are rarely reported.
We report the case of a 50-year-old male patient who was admitted for sepsis due to gangrenous necrosis of the spleen associated with bacteremia. Causative pathogens were Clostridium perfringens and Streptococcus gallolyticus. The patient was successfully treated by splenectomy and targeted intravenous antibiotics. No underlying or predisposing disease was found.
Gangrenous necrosis of the spleen is a rare entity that can be successfully treated by splenectomy and antibiotics.
脾脓肿通常由血行播散引起。病原体种类繁多，厌氧菌感染少见。
我们报告了一例 50 岁男性患者，因伴有菌血症的脾坏疽性坏死导致脓毒症而入院。病原体为产气荚膜梭菌和酿脓链球菌。患者成功接受了脾切除术和靶向静脉内抗生素治疗。未发现潜在疾病或易患因素。
脾坏疽性坏死是一种罕见的疾病，可通过脾切除术和抗生素治疗获得成功。
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