Splenic abscess due to multi drug resistant Klebsiella pneumoniae in a post-renal transplant patient – Case Report
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 5
Abstract
Introduction: Splenic abscess is rare condition having incidence rate of 0.14-0.7 % in various autopsy series. Splenic abscess may develop due to contiguous spread of infection , direct trauma to the spleen or hematogenous spread of infection [1]. The first two modes are uncommon while the hematogenous spread of infection is more common and is commonly associated with bacterial endocarditis , urinary tract infection, intraabdominal infection etc. Common etiological agents are Streptococcus sp., Staphylococcus aureus, gram negative aerobic bacteria,fungus etc [2]. Most of the cases presents with fever, abdominal pain and splenomegaly. Immunosuppression is an important risk factor for splenic abscess. As this condition is frequently fatal in untreated patient, the index of clinical suspicion should be high. CT scan and USG of abdomen are sensitive diagnostic tools [3]. Standard therapy include splenectomy plus antibiotics [1&4]. We report a case of splenic abscess in post renal transplant patient caused by the hematogenous spread of multi drug resistant klebsiella pneumoniae.
Authors and Affiliations
Dr Namrata Kumari
Keywords
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