Gill V, Marzocca F J, Cunha B A
Infectious Disease Division, Winthrop-University Hospital Mineola, NY 11501.
Heart Lung. 1994 May-Jun;23(3):263-5.
Splenic abscesses may be solitary or multiple and are unusual infections. Signs and symptoms are variable and do not always include left upper quadrant pain or tenderness, as the Case Report illustrate. Abscesses of the spleen may occur as a result of endocarditis or from hematogenous seeding from a distant focus of infection. Computed tomographic scan of the spleen is the diagnostic method of choice. We report a case of multiple splenic abscesses caused by Klebsiella pneumoniae that resulted from a Klebsiella urinary tract infection and was successfully managed with antibiotic therapy and splenectomy.
脾脓肿可以是单发或多发的，是一种少见的感染性疾病。其体征和症状多样，并不总是包括左上腹疼痛或压痛，如本病例报告所示。脾脓肿可能是心内膜炎的结果，也可能是远处感染灶血行播散所致。脾脏计算机断层扫描是首选的诊断方法。我们报告一例由肺炎克雷伯菌引起的多发性脾脓肿病例，该病例源于克雷伯菌尿路感染，通过抗生素治疗和脾切除成功治愈。
