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Splenic abscess: a single institution study and review of the literature Lee WS; Choi ST; Kim KKYonsei Med J 2011[Mar]; 52 (2): 288-92PURPOSE: 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 AND METHODS: 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 viridans 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%) received 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.|Abscess/diagnosis/drug therapy/microbiology/surgery/*therapy[MESH]|Adult[MESH]|Aged[MESH]|Anti-Bacterial Agents/therapeutic use[MESH]|Drainage[MESH]|Female[MESH]|Humans[MESH]|Klebsiella Infections/diagnosis/drug therapy/microbiology/surgery[MESH]|Klebsiella pneumoniae[MESH]|Male[MESH]|Middle Aged[MESH]|Splenectomy[MESH]|Splenic Diseases/diagnosis/drug therapy/*microbiology/surgery[MESH]|Streptococcal Infections/diagnosis/drug therapy/microbiology/surgery[MESH]|Treatment Outcome[MESH]|Viridans Streptococci[MESH]|Young Adult[MESH] |
