Inagaki Koji, Hashimoto Masahiro, Hashimoto Nanako, Suzuki Kenji, Koyanagi Norihito, Kitahara Rie, Iimuro Keita, Suzuki Akira, Furusawa Shin, Tsuji Masashi, Akahori Toshiyuki
Department of Nephrology, Chutoen General Medical Center, Shizuoka, Japan.
Department of Radiology, Chutoen General Medical Center, Shizuoka, Japan.
Radiol Case Rep. 2024 Aug 12;19(11):4818-4823. doi: 10.1016/j.radcr.2024.07.099. eCollection 2024 Nov.
A 29-year-old man with diabetic nephropathy presented with fever and chills 4 days postdischarge following hospitalization for hyperglycemia. Abdominal computed tomography revealed a splenic abscess. Percutaneous drainage was performed, and intravenous meropenem was administered. Subsequent culture of the drained abscess identified . Based on the antimicrobial susceptibility results, the patient was switched to oral levofloxacin. This combined treatment led to the resolution of the abscess, with no recurrence after 6 months. This is the first case of a splenic abscess caused by successfully managed by prompt percutaneous drainage and appropriate antibiotics.
一名29岁的糖尿病肾病男性患者,因高血糖住院出院后4天出现发热和寒战。腹部计算机断层扫描显示脾脓肿。进行了经皮引流,并给予静脉注射美罗培南。随后对引流的脓肿进行培养,确定了……根据抗菌药敏结果,将患者改用口服左氧氟沙星。这种联合治疗使脓肿消退,6个月后无复发。这是首例由……引起的脾脓肿通过及时的经皮引流和适当的抗生素成功治疗的病例。