Splenic abscess: a single institution study and review of the literature.
Splenic abscess: a single institution study and review of the literature.
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DOI：
10.3349/ymj.2011.52.2.288
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发表时间：
2011-03
影响因子：
2.4
通讯作者：
Kim KK
中科院分区：
文献类型：
--
作者：
Lee WS;Choi ST;Kim KK
The aim of this study was to review our experience with splenic abscesses, with respect to the relevant aspects of splenic abscesses and treatment outcomes. We reviewed the cases of 18 patients who had splenic abscesses and who were treated at our hospital from November 1993 to December 2008. The most common symptom at presentation was abdominal pain in 12 patients (66.7%). The median duration from symptom onset until establishment of a diagnosis was 22 days. Streptococcus viridians was the most common pathogen (27.8%), follow by Klebsiella pneumoniae (22.2%). The mortality rate during the inpatient period and the previous 90 days was 16.6%. Three of four patients with Klebsiella pneumoniae showed a single abscess pocket. Four patients (22.2%) underwent percutaneous drainage, eight (44.5%) recieved antibiotic treatment only and six (33.3%) underwent splenectomy. There is no gold standard for treating splenic abscesses. Treatment should be customized for each patient.
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