Splenic Abscess: A Single Institution Study and Review of the Literature
Yonsei Medical Journal
;
: 288-292, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-68178
ABSTRACT
PURPOSE:
The aim of this study was to review our experience with splenic abscesses, with respect to the relevant aspects of splenic abscesses and treatment outcomes. MATERIALS ANDMETHODS:
We reviewed the cases of 18 patients who had splenic abscesses and who were treated at our hospital from November 1993 to December 2008.RESULTS:
The most common symptom at presentation was abdominal pain in 12 patients (66.7%). The median duration from symptom onset until establishment of a diagnosis was 22 days. Streptococcus viridians was the most common pathogen (27.8%), follow by Klebsiella pneumoniae (22.2%). The mortality rate during the inpatient period and the previous 90 days was 16.6%. Three of four patients with Klebsiella pneumoniae showed a single abscess pocket. Four patients (22.2%) underwent percutaneous drainage, eight (44.5%) recieved antibiotic treatment only and six (33.3%) underwent splenectomy.CONCLUSION:
There is no gold standard for treating splenic abscesses. Treatment should be customized for each patient.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Splénectomie
/
Maladies de la rate
/
Infections à streptocoques
/
Infections à Klebsiella
/
Drainage
/
Résultat thérapeutique
/
Streptocoques viridans
/
Abcès
/
Klebsiella pneumoniae
/
Antibactériens
Limites du sujet:
Adulte
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Yonsei Medical Journal
Année:
2011
Type:
Article
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