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Splenic abscess in an infant caused by Streptococcus intermedius

  • CASE REPORT
  • Published:
Journal of Infection and Chemotherapy

Abstract

We report a 20-month-old girl with splenic abscess. The patient was admitted to our hospital because of persistent high fever and abdominal pain. Laboratory data showed leucocytosis and elevated C-reactive protein levels. Abdominal computed tomography showed multiple low-density lesions in the spleen. These findings were consistent with a diagnosis of splenic abscess. She was successfully treated with ultrasonographically guided percutaneous drainage for 11 days and intravenous antibiotic for 17 days. On culture, aspirated fluid from the abscess grew Streptococcus intermedius. This case illustrates that the differential diagnosis of unknown-focus infection in infants should include splenic abscess. We recommend conservative therapy (antibiotics and drainage) as first-line therapy for splenic abscess in pediatric patients, based on the importance of the immunological functions of the spleen.

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Authors and Affiliations

  1. Department of Pediatrics, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu, Shizuoka, 430-8558, Japan

    Tadashi Matsubayashi, Rie Matsubayashi & Isamu Saito

  2. Department of Pediatric Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan

    Shigeo Tobayama

  3. Department of Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan

    Hiromichi Machida

Authors
  1. Tadashi Matsubayashi
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  2. Rie Matsubayashi
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  3. Isamu Saito
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  4. Shigeo Tobayama
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  5. Hiromichi Machida
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Correspondence to Tadashi Matsubayashi.

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Matsubayashi, T., Matsubayashi, R., Saito, I. et al. Splenic abscess in an infant caused by Streptococcus intermedius . J Infect Chemother 13, 423–425 (2007). https://doi.org/10.1007/s10156-007-0561-4

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  • DOI: https://doi.org/10.1007/s10156-007-0561-4

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