We experienced a case of a 76-year-old man who developed a splenic abscess while undergoing treatment for interstitial pneumonia. Splenic abscess-like abnormal intensities were accidentally found by the chest computed-tomography (CT) examinations 3 weeks after the initiation of corticosteroids and immunosuppressive treatment for interstitial pneumonia. An ultrasonography-guided percutaneous aspiration test resulted in the isolation of methicillin-resistant Staphylococcus aureus (MRSA). Since colonized MRSA had been detected intermittently from sputum after admission and the patient risked bloodstream infection from an indwelling central venous catheter and intubation, we suspected that the organism colonized in the airway had spread into the bloodstream via these devices. Although CT-guided percutaneous drainage followed by postoperative antibiotic therapy are normally required for the treatment of splenic abscess, the patient was successfully treated by the administration of vancomycin without drainage.
Download full-text PDF |
Source |
---|
Case Rep Infect Dis
December 2024
Hospital Infection Control Department, Hospital de Base, Federal District, Brasilia, Brazil.
Invasive mucormycosis is an aggressive fungal infection characterized by rapid progression, primarily impacting immunocompromised individuals. Herein, we report a case of splenic infarction in association with gastrointestinal fistula and brain abscess as a rare presentation of mucormycosis biopsy, proven in a 56-year-old patient diagnosed with acute myeloid leukemia. The patient initially sought medical attention with a 3-week history of fever, night sweats, and malaise.
View Article and Find Full Text PDFBMC Infect Dis
December 2024
The First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei Province, 443000, China.
Background: Yersinia pseudotuberculosis is an emerging zoonotic intestinal pathogen primarily transmitted through contaminated food and water. Infections caused by Yersinia pseudotuberculosis are typically self-limiting, often presenting as gastroenteritis or "pseudoappendicitis," which is characterized by fever and abdominal pain. Although bloodstream infections with Yersinia pseudotuberculosis are rare, they can lead to multiple distant sites of infection, including abscesses in the liver, spleen, and kidneys, as well as in the hip and knee joints, particularly in individuals with underlying immunodeficiency.
View Article and Find Full Text PDFMedicine (Baltimore)
December 2024
Department of Oncology, The Affiliated Yixing Hospital of Jiangsu University, Wuxi, Jiangsu Province, China.
Rationale: Splenic metastases concomitant with abscesses are rare and challenging for clinicians. The primary treatment options include splenectomy and ultrasound-guided percutaneous perforation and drainage.
Patient Concerns: A case of splenic abscess in a colon cancer patient with splenic metastasis who developed chills and fever for approximately 2 weeks.
Semin Intervent Radiol
October 2024
Section of Interventional Radiology, The University of Chicago, Chicago, Illinois.
When consulted for percutaneous catheter drainage (PCD) of abdominopelvic collections, interventional radiologists (IRs) should consider the appropriateness of this technique in the context of other options such as conservative, endoscopic, or surgical management. Whenever possible, published data should be considered prior to performing percutaneous drainage, especially as regards controversial scenarios such as the use of fibrinolytic therapy, the primary placement of large-bore drainage catheters, the drainage of cystic tumors, the drainage of splenic abscesses, and the treatment of collections lacking an in-line drainage window. This article examines past and present published data on PCD to dispel some common myths and guide IRs toward the best applications of PCD.
View Article and Find Full Text PDFCurr Res Microb Sci
November 2024
Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal 576104, India.
Melioidosis is caused by percutaneous inoculation or inhalation of , predominantly among individuals with risk factors (diabetes mellitus, immunosuppression, etc.) from endemic areas of South Asia, Southeast Asia and Northern Australia. While some patients present acutely with sepsis and multi-organ failure, others present with a subacute to chronic course characterised by abscess formation.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!