Rerbakken G, Schulz T, Swensen T
Medisinsk avdeling, Aust-Agder Sentralsjukehus, Arendal.
Tidsskr Nor Laegeforen. 1997 May 20;117(13):1908-10.
A diagnosis of hospital discharges shows splenic abscess to be a rare condition, with one case per 10,000 discharges. Haematogenous seeding to the spleen from an infection at a distant site, most often endocarditis, has been the most common predisposing condition but an increase has been observed in immuno-suppressed patients too. Fever, leukocytosis and left upper quadrant pain are suggestive, but the signs and symptoms of splenic abscesses are often non-specific. Ultrasound and computed tomography are reliable diagnostic tools. Splenectomy and antibiotics have been the treatments of choice, with increasing use of percutaneous drainage as an alternative, in order to preserve splenic function. We describe a patient with a salmonella splenic abscess that was treated with percutaneous drainage and ciprofloxacin.
医院出院诊断显示脾脓肿是一种罕见病症，每10000例出院病例中出现1例。远处感染灶血行播散至脾脏，最常见的是心内膜炎，一直是最常见的诱发因素，但免疫抑制患者中这种情况也有所增加。发热、白细胞增多和左上腹疼痛有提示作用，但脾脓肿的体征和症状往往不具有特异性。超声和计算机断层扫描是可靠的诊断工具。脾切除术和抗生素一直是首选治疗方法，为了保留脾脏功能，经皮引流作为一种替代方法的使用越来越多。我们描述了一名患有沙门氏菌脾脓肿的患者，该患者接受了经皮引流和环丙沙星治疗。
