Multiple splenic abscesses caused by Salmonella typhi in a child: case report & brief literature review

Abstract

Splenic abscess is a rare entity described in pediatric age group. Only few cases are reported in literature. Enteric splenic abscess is even rarer in children. The clinical presentation of enteric splenic abscess is often insidious with non specific symptoms and signs, thus making diagnosis difficult. We report a 6 yr old girl with typhoid fever who developed multiple splenic abscesses and was successfully managed with conservative approach.

Keywords

• spleen, abscesses, multiple, typhoid fever, S. typhi.

Kaynakça

1. Thapa R, Mukherjee K, Chakrabartty S. Splenic abscess as a complication of enteric fever. Indian Pediatr 2007; 44: 438- 40
2. Allal R, Kastler B, Gangi A et al. Splenic abscesses in typhoid fever: US and CT studies. J Comput Assist Tomogr 1993; 17: 90- 93
3. Choudhary S, Debnath P, Jain P et al. Conservative management of isolated splenic abscess in children. J Ped Surg 2010; 45, 372–375
4. Mehta SS, Gittes GK. Splenic Abscess. In: Ashcraft KW, Holcomb GW, Murphy JP (Eds). Pediatric Surgery. 4th edn. Philadelphia: Elsevier Saunders; 2005; 652-653
5. Chun C, Raff M, Contrearas L et al. Splenic abscess. Medicine 1980; 59: 50–65.
6. Nelken N, Ignatius J, Skinner M et al. Changing clinical spectrum of splenic abscess. A multicenter study and review of the literature. Am J Surg 1987; 154: 27–34
7. Ooi L.L.P.J, Leong S. Splenic abscesses from 1987 to 1995. Am J Surg 1997; 174: 87–93.
8. Smith M, Nio M, Camel J et al. Management of splenic abscess in immunocompromised children. J Pediatr Surg 1993; 28: 823–826

9. Smyrniotis V, Kehagias D, Voros D et al. Splenic abscess. An old disease with new interest. Dig Surg 2000; 17: 354– 357
10. Brook I. Intraabdominal, retroperitoneal and visceral abscesses in children. Eur J Pediatr Surg 2004; 14: 265-273
11. Torres JR, Gotuzzo E, Isturiz R et al. Salmonellal splenic abscess in the antibiotic era: a Latin American perspective. Clin Infect Dis 1994; 19: 871- 875
12. Zaleznik D, Kasper D. Intra-abdominal infections and abscesses. In: K.J. Isselbacher et al., (Eds) Harrisons principles of internal medicine, McGraw-Hill, New York, 1998; 795
13. Thanos L, Dailiana T, Ppaioannou G, et al. Percutaneous CT- guided drainage of splenic abscess. AJR Am J Roentgenol 2002; 179: 629-32
14. Liu KY, Shyr YM, Su CH, et al. Splenic abscess—a changing trend in treatment. S Afr J Surg 2000; 38: 55-7
15. Chang KC, Chuah SK, Changchien CS, et al. Clinical characteristics and prognostic factors of splenic abscess: a review of 67 cases in a single medical center of Taiwan. World J Gastroenterol 2006; 12: 460-4
16. Tung CC, Chen FC, Low CJ. Splenic abscess: an easily overlooked disease? Am Surg 2006; 74: 322-5
17. Fotiadis C, Lavranos G, Patapis P, et al. Abscess of the
18. spleen: report of three cases. World J Gastroenterol 2008; 14: 3088-91.