Splenic Abscess: A Single Institution Study and Review of the Literature
Yonsei Medical Journal
;
: 288-292, 2011.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esplenectomia
/
Esplenopatias
/
Infecções Estreptocócicas
/
Infecções por Klebsiella
/
Drenagem
/
Resultado do Tratamento
/
Estreptococos Viridans
/
Abscesso
/
Klebsiella pneumoniae
/
Antibacterianos
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Yonsei Medical Journal
Ano de publicação:
2011
Tipo de documento:
Artigo
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