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Splenic Abscess

 Syn. Abscess of spleen , abscesses spleen

Signs & Symptoms

 Left upper quadrant tenderness
Note: due to perisplenitis
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults]
Left upper quadrant pain
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders] Harrison [ 957] Cecil [ 897]
Fever
Note: due to perisplenitis, preceded diagnosis by an average of 20 days in one series
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders] Harrison [ 957] Cecil [ 897]
Fever resistant to antimicrobial therapy
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders]

Physical Examination

 Left upper quadrant tenderness
Note: due to perisplenitis
Ref: Uptodate [ Differential diagnosis of abdominal pain in adults]
Splenomegaly
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders] Harrison [ 957] Cecil [ 897]
Recurrent fever
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders]

Lab / Serology

 Leukocytosis
Ref: Harrison [ 957] Cecil [ 897]

Imagin Study

 Infiltrate on chest
Ref: Harrison [ 957]
Left-sided pleural effusion
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders]
Splenic infarction
Note: due to septic emboli
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders]

Complication

Risk Factors

Cause

 Endocarditis
Ref: Uptodate [ Approach to the adult with splenomegaly and other splenic disorders]

Other