Successful Conservative Management of a Large Splenic Abscess Secondary to Infective Endocarditis.
Abscess
/ diagnostic imaging
Anti-Bacterial Agents
/ therapeutic use
Aortic Valve Insufficiency
/ etiology
Conservative Treatment
Drug Therapy, Combination
Emergency Service, Hospital
Endocarditis, Bacterial
/ complications
Follow-Up Studies
Heart Valve Prosthesis Implantation
/ methods
Humans
Kidney Failure, Chronic
/ therapy
Male
Middle Aged
Multimorbidity
Renal Dialysis
/ methods
Splenic Diseases
/ diagnostic imaging
Staphylococcus epidermidis
/ isolation & purification
Tomography, X-Ray Computed
/ methods
Treatment Outcome
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
14
06
2018
revised:
16
08
2018
accepted:
17
08
2018
pubmed:
17
10
2018
medline:
18
12
2019
entrez:
17
10
2018
Statut:
ppublish
Résumé
The spleen is the most common abdominal site for systemic septic emboli that often complicate infective endocarditis. Management of an embolic splenic abscess usually involves surgical splenectomy or image-guided drainage, but the natural history of splenic abscess without drainage is unknown. We describe the successful conservative treatment of a large complex splenic abscess with antibiotics alone in a patient with aortic valve infective endocarditis who required an emergent valve replacement surgical procedure. Previous complex abdominal wall operation with the presence of a synthetic mesh made abdominal surgical intervention unfavorable. The splenic abscess resolved completely with no recurrence of infection at the 3-year follow-up.
Identifiants
pubmed: 30326233
pii: S0003-4975(18)31474-7
doi: 10.1016/j.athoracsur.2018.08.065
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e235-e237Informations de copyright
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.