ArticleThe Permanente journal2017
Splenic Abscess in Immunocompetent Patients Managed Primarily without Splenectomy: A Series of 7 Cases.
Article in The Permanente journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Splenectomy versus Imaging-Guided Percutaneous Drainage for Splenic Abscess: A Systematic Review and Meta-Analysis.Surgical infections · 2022Pooled it
- 2021 recommendations of the Brazilian Society of Rheumatology for the gynecological and obstetric care of patients with Sjogren's syndrome.Advances in rheumatology (London, England) · 2021Pooled it
- Infectious comorbidities in pregnant patients with rheumatic diseases.Rheumatology international · 2026Review
- Article
- Culture-negative cryptogenic splenic abscess in an immunocompetent host with recurrent misdiagnosis as pleural effusion: a case report with a review of the literature.Frontiers in medicine · 2026Article
- An Unusual Bacterial-Fungal Splenic Abscess in an Immunocompetent Host:Case reports in infectious diseases · 2026Article
- Multidisciplinary Management of Single Organism Emphysematous Splenitis Without Splenectomy: A Case Report.Cureus · 2025Article
- Splenic Abscesses in the Pediatric Population: A Literature Review of an Uncommon Entity.Cureus · 2024Review
- [Infarction and splenic abscess as the cause of acute abdomen in a patient with myelomonocytic leukemia].Revista medica del Instituto Mexicano del Seguro Social · 2024Article
- Splenic Abscess in an Adolescent due toCase reports in pediatrics · 2023Article
- A canine case of splenic hemangiosarcoma complicated with infectious splenic abscess.Veterinary research forum : an international quarterly journal · 2022Article
- Surgical Management of a Splenic Abscess: Case Report, Management, and Review of Literature.Cureus · 2022Article
- Giant splenic cyst complicated by infection due to Salmonella enterica serovar Livingstone in a previously healthy adolescent male: a case report.BMC infectious diseases · 2022Article
- A rare presentation of a splenic abscess.Clinical case reports · 2022Article
- Splenic Abscess in Qatar: A Single-Center Experience.Qatar medical journal · 2022Article
- Two cases of non-parasitic splenic cysts and spleen-preserving therapy.Annals of the Royal College of Surgeons of England · 2021Article
- Colonic Adenocarcinoma Presenting as Splenic Abscess Secondary to Suspected Microperforation.Journal of investigative medicine high impact case reportsArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSplenic abscesses are rare in immunocompetent adults. Despite advances in diagnosis and treatment, these abscesses are still potentially life threatening. Various factors have been reported to predispose otherwise immunocompetent adults to splenic abscesses. Splenectomy was once considered the "gold standard" treatment. However, the trend is shifting to a conservative approach. CASE DESCRIPTION: We describe seven cases of splenic abscess in immunocompetent adults, the cause of which ranged from tuberculosis to salmonella and was as rare as Plasmodium vivax. All the patients presented with fever (median duration = one month; range = one week to six years) and abdominal pain, and most also had weight loss. All patients were in their third to fifth decades of life. The patients were successfully treated with appropriate antibiotic therapy, after which they were clinically normal. DISCUSSION: A microbiological diagnosis of splenic abscess is of utmost importance. In this series, all patients underwent percutaneous aspiration. This was performed under radiologic guidance (either ultrasonography or computed tomography). Only one patient required diagnostic splenectomy. Irrespective of whatever surgical or nonsurgical drainage measures are employed, appropriate antibiotic therapy is the cornerstone of management. The dose and duration of antibiotic therapy depend on the causative organism and its sensitivity pattern.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.