TY - JOUR
T1 - Splenic abscess
T2 - Conservative management in children
AU - Aroor, S.
AU - Kanaparthi, S.
AU - Mundkur, S. C.
AU - Shashidhara, S.
AU - Konda, K. C.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Isolated splenic abscess is rare in children, and occurs predominantly in the immunocompromised, with high rates of mortality and morbidity. We reviewed seven cases of splenic abscess managed at our centre. Six out of seven children (aged 7 months - 15 years, four male and three female) had multiple abscesses. Fever, abdominal pain, hepatosplenomegaly and leukocytosis were the predominant clinical manifestations. Burkholderia pseudomallei and coagulase-negative Staphylococcus aureus were isolated as the causative agents in two children. Five children were successfully managed conservatively, and two with ultrasonography-guided aspiration. Early institution of parenteral antibiotics and ultrasonography-/computed tomography-guided aspiration can help in preventing splenectomy in such children.
AB - Isolated splenic abscess is rare in children, and occurs predominantly in the immunocompromised, with high rates of mortality and morbidity. We reviewed seven cases of splenic abscess managed at our centre. Six out of seven children (aged 7 months - 15 years, four male and three female) had multiple abscesses. Fever, abdominal pain, hepatosplenomegaly and leukocytosis were the predominant clinical manifestations. Burkholderia pseudomallei and coagulase-negative Staphylococcus aureus were isolated as the causative agents in two children. Five children were successfully managed conservatively, and two with ultrasonography-guided aspiration. Early institution of parenteral antibiotics and ultrasonography-/computed tomography-guided aspiration can help in preventing splenectomy in such children.
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U2 - 10.7196/SAJCH.2019.v13i1.1537
DO - 10.7196/SAJCH.2019.v13i1.1537
M3 - Article
AN - SCOPUS:85067387399
SN - 1994-3032
VL - 13
SP - 49
EP - 50
JO - SAJCH South African Journal of Child Health
JF - SAJCH South African Journal of Child Health
IS - 1
ER -