| Splenic abscess: a review of 22 cases in a single institution. | |
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MedLine Citation:
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PMID: 19712861 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe the demographics, clinical features, etiology, imaging findings, bacteriologic profile, treatment and outcome in patients presenting splenic abscess in a European tertiary hospital. METHODS: Review of the medical charts of patients in whom splenic abscess was diagnosed at a tertiary hospital in Madrid (Spain) within a nine-year period. RESULTS: Twenty-two cases (13 males, 9 females) were found. Mycobacterium tuberculosis was the most frequent causative microorganism, accounting for 8 cases, and immunosuppression the main predisposing factor (in 63.6% of the patients). Symptoms were quite unspecific, leading to a long, median time until diagnosis (17 days). The overall mortality rate was 18.2% and it was 25% in patients with tuberculosis and 14.28% in patients with other causes of splenic abscesses (p=0.6). CONCLUSIONS: Immunosuppressed states are the predisposing condition for splenic abscess in almost two thirds of the patients. We found a higher percentage of M. tuberculosis than that previously reported in the English literature. |
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Authors:
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Jara Llenas-Garc?a; Mario Fern?ndez-Ruiz; Luis Caurcel; A Enguita-Valls; Juan Vila-Santos; Juan-Manuel Guerra-Vales |
Publication Detail:
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Type: Journal Article Date: 2009-06-06 |
Journal Detail:
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Title: European journal of internal medicine Volume: 20 ISSN: 1879-0828 ISO Abbreviation: Eur. J. Intern. Med. Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-28 Completed Date: 2010-01-26 Revised Date: 2010-02-11 |
Medline Journal Info:
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Nlm Unique ID: 9003220 Medline TA: Eur J Intern Med Country: Netherlands |
Other Details:
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Languages: eng Pagination: 537-9 Citation Subset: IM |
Copyright Information:
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2009 European Federation of Internal Medicine. |
Affiliation:
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Service of Internal Medicine, 12 de Octubre University Hospital. Avenida de C?rdoba s/n. 28041 Madrid, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
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diagnosis*,
microbiology*,
therapy Adolescent Adult Aged Anti-Bacterial Agents / therapeutic use Candidiasis / diagnosis, therapy Child Child, Preschool Cohort Studies Drainage Female Gram-Negative Bacterial Infections / diagnosis, therapy* Gram-Positive Bacterial Infections / diagnosis, therapy* Humans Male Middle Aged Retrospective Studies Spain Splenic Diseases / diagnosis*, microbiology*, therapy Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
| Comments/Corrections | |
Comment In:
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Eur J Intern Med. 2010 Feb;21(1):52; author reply 53
[PMID:
20122618
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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