Splenic abscess

Ross M. Clark, Thomas R. Howdieshell

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The diagnosis of splenic abscess is often overlooked because of its rarity and misleading clinical features, as well as the presence of predisposing conditions that obscure its clinical presentation. Hence, it is not surprising that splenic abscess is often diagnosed during postmortem examinations (0.2% to 0.7% incidence in various autopsy series), even in the era of antibiotics. Contributing factors to an apparent increase in the incidence of splenic abscess include advances in radiologic imaging, comfort with nonoperative management of blunt splenic trauma, and a greater number of patients who have cancer or are otherwise immunocompromised. Incidence and predisposing factors Splenic abscesses occur more commonly in males (55% to 60% in several series), with the average age ranging from 25 to 54 years. Nelken and colleagues describe a bimodal distribution: patients younger than 40 years of age, generally immunosuppressed or drug addicts, who usually present with a multilocular abscess; and patients older than 70 years of age who are suffering from diabetes and/or a nonendocarditic septic focus and develop a unilocular abscess.

Original languageEnglish (US)
Title of host publicationClinical Infectious Disease, Second Edition
PublisherCambridge University Press
Pages370-374
Number of pages5
ISBN (Electronic)9781139855952
ISBN (Print)9781107038912
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Clark, R. M., & Howdieshell, T. R. (2015). Splenic abscess. In Clinical Infectious Disease, Second Edition (pp. 370-374). Cambridge University Press. https://doi.org/10.1017/CBO9781139855952.064