RESUMO
Though there is close anatomical proximity between pancreas and the spleen, the involvement of latter is extremely uncommon in acute inflammation of the pancreas. In this report, we present a case of splenic abscess as a complication of acute pancreatitis. The aspirate from the abscess yielded the organism, Klebsiella. We were able to successfully treat this case with percutaneous drainage along with parenteral antibiotics, and we did not have a resort to splenectomy.
Assuntos
Abscesso/diagnóstico , Doença Aguda , Adulto , Antibacterianos/administração & dosagem , Drenagem/métodos , Feminino , Seguimentos , Humanos , Infecções por Klebsiella/diagnóstico , Pancreatite/diagnóstico , Baço , Tomografia Computadorizada por Raios XAssuntos
Adulto , Animais , Câmara Anterior/efeitos dos fármacos , Anti-Inflamatórios/uso terapêutico , Anticonvulsivantes/uso terapêutico , Antiplatelmínticos/uso terapêutico , Encéfalo/parasitologia , Encefalopatias/diagnóstico , Cisticercose/diagnóstico , Quimioterapia Combinada , Infecções Oculares Parasitárias/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Fenitoína/uso terapêutico , Praziquantel/uso terapêutico , Esteroides , Taenia/isolamento & purificaçãoRESUMO
Eighty four cases with acute chlorine poisoning who reported between 1/2 hour to 2 hours after exposure were studied. A majority presented with features of upper respiratory tract involvement like irritative cough (70 cases) and oropharyngeal pruritus (60 cases). Bronchospasm was present in 15 cases. None of them had any residual impairment of pulmonary function 4 weeks after exposure.