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  • Title: Splenic abscess due to Streptococcus anginosus. Case report.
    Author: Lombardi A, Coppola M, Pennica A, Maglio R, Moscaroli A, Lo Russo M, Provenza G.
    Journal: G Chir; 2008; 29(8-9):359-61. PubMed ID: 18834569.
    Abstract:
    Splenic abscess is a rare condition. Haematogenous seeding to the spleen from an infection at a distant site, most often endocarditis, is been the most common predisposing condition but an increase has been observed in immuno-compromised patients too. Fever, leukocytosis and left upper quadrant pain are suggestive, but the signs and symptoms of splenic abscesses are often non-specific. Rare is the onset with diarrhoea as in our case. Ultrasound and computed tomography are reliable diagnostic tools. Splenectomy and antibiotics are the treatments of choice. We describe a case of splenic abscess with gas level and peritonitis from dissemination of Streptococcus anginosus (of Streptococcus millerii group) from duodenal ulcer contaminated. It was diagnosed with CT, ultrasound, and abdomen X-ray with contrast then treated with splenectomy and peritoneal lavage.
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