[Incidence and clinical features of splenic abscesses, with special reference to tuberculous etiology in a general hospital]

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[Incidence and clinical features of splenic abscesses, with special reference to tuberculous etiology in a general hospital]

Gastroenterol Hepatol. 1998 Dec;21(10):479-82. Unique Identifier : AIDSLINE MED/99126753
Arruabarrena I; Bermejo MC; Ojeda E; Cosme A; Garmendia G; Servicio de Medicina Interna, Hospital Nuestra Senora de; Aranzazu, San Sebastian.

Abstract: BACKGROUND: The aim of this revision is to know the incidence of splenic abscess (SA) in our hospital, its etiology, with special reference to tuberculosis, and clinical characteristics. PATIENTS AND METHODS: Abdominal CT-scan performed during the period 1987-1997, with the diagnosis of splenic abscess were reviewed. Etiologic diagnosis standed on blood or sputum cultures, PAAF and/or histologic study of lymph nodes. RESULTS: Seventeen cases of SA were obtained, 12 males and 5 females. Limits of age: 13 and 77 years. The causal microorganisms were: M. tuberculosis (7), Mycobacterium aviumintracellulare (1), S. aureus (2), S. anginosus (1), S. milleri (1), E. coli (1), C. albicans (1), T. biguelle (1) and polymicrobian flora (1). One case was of unknown etiology. Underlying illnesses were: AIDS (7), malignant neoplasms (3), diabetes (2), endocarditis (2), Sjogren syndrome (1) and complications of abdominal surgery (2). Clinical presentation in nontuberculous splenic abscess was fever and upper-left abdominal pain. Predominant symptoms in tuberculous splenic abscess were fever and weight loss. Blood cultures were positive in 80% of non tuberculous splenic abscess. Specific treatment for tuberculosis improved all patients with tuberculous splenic abscess, without needing surgery or corticosteroids. CONCLUSIONS: From the total of splenic abscess, 41.1% were tuberculous, six with AIDS and one with Sjogren syndrome. Diabetes and malignant neoplasms were the commonest underlying illnesses in the non-tuberculous. In these, clinical presentation consisted in fever and upper-left abdominal pain. In patients with tuberculous splenic abscess, the main complaint was weight loss. A prompt treatment is generally succesful.

Keywords: JOURNAL ARTICLE esplenicos, con especial referencia a los de etiologia tuberculosa, en un hospital general. Abscess/*EPIDEMIOLOGY/ETIOLOGY Acquired Immunodeficiency Syndrome/COMPLICATIONS Adolescence Adult Aged Diabetes Mellitus/COMPLICATIONS English Abstract Female Human Incidence Male Middle Age Postoperative Complications Retrospective Studies Sjogren's Syndrome/COMPLICATIONS Splenic Diseases/*EPIDEMIOLOGY/ETIOLOGY Tuberculosis/*COMPLICATIONS
990530
A9950926

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