Splenic abscess, Biology

Assignment Help:

Splenic infarction is a common complication of left-sided IE (40 per cent of cases). Only 5 per cent of patients with splenic infarction will develop splenic abscess. This infection develops via 1 of 2 mechanisms Bacteremic seeding of a bland infarction, created via splenic artery occlusion by embolized vegetations, or direct seeding of the spleen by an infected embolus also originating from an infected valvular vegetation. Viridans streptococci and S aureus each account for 40 per cent of cases in which splenic abscess cultures are positive, whereas the enterococci account for 15 per cent of cases. Aerobic Gram-negative bacilli and fungi are isolated in, 5 per cent of cases. Clinical splenomegaly, present in up to 30 per cent of cases of IE, is not a reliable sign of splenic infarction or abscess. Splenic infarction delineated by imaging techniques is often asymptomatic Back, left-flank, or left-upper-quadrant pain or abdominal tenderness, when present, may be associated with either splenic infarction or abscess. Splenic rupture with hemorrhage is a rare complication of infarction. Persistent or recurrent bacteremia, persistent fever, or other signs of sepsis are suggestive of splenic abscess, Abdominal CT or MRI appear to be the best tests for diagnosis of splenic abscess, with sensitivities and specificities of 90 per cent to 95 per cent. On ultrasonography, a sonolucent lesion suggests abscess. Infarcts are generally associated with clinical and radiographic improvement during appropriate antibiotic therapy. Ongoing sepsis, recurrent positive blood cultures, and persistence or enlargement of splenic defects CT or MRI suggest splenic abscess, which responds poorly to antibiotic therapy alone. Definitive treatment is splenectomy with appropriate antibiotics. Percutaneous drainage or aspiration of splenic abscess is an alternative to splenectomy for the patient who is a poor surgical candidate. Splenectomy should be performed before valve-replacement surgery because of the risk of infection of the valve prosthesis as a result of the bacteremia from abscess.


Related Discussions:- Splenic abscess

Golgi apparatus, GOLGI APPARATUS Camillo Golgi in 1898 discovered a retic...

GOLGI APPARATUS Camillo Golgi in 1898 discovered a reticular structure in the cytoplasm of nerve cells with the help of metal impregnation technique using silver nitrate for whic

State about dental implant reconstruction, State about Dental implant recon...

State about Dental implant reconstruction Dental implant reconstruction requires a thorough knowledge and understanding of the various strategically important anatomic landmark

Explain ribosomes in eukaryotic and in prokaryotic cells, How different are...

How different are the location of ribosomes in eukaryotic and in prokaryotic cells? In prokaryotes ribosomes are create free in cytoplasm. In eukaryotic cells they can also be

What the enzymes do to reaction, What do enzymes do to a reaction? Indicate...

What do enzymes do to a reaction? Indicate all that are correct. a. Lower the activation energy b. Reverse the equilibrium c. Lower the equilibrium d. Increase the reac

Coniferous forests and taiga, As you travel south from the tundra you will ...

As you travel south from the tundra you will enter the circumpolar belt of coniferous forests which stretches across North America to Eurasia, this region is called taiga, a world

Respiration, #question.what are the organs of respiration in the lwer form ...

#question.what are the organs of respiration in the lwer form of animals .

Types of parthenocarpy, Types of Parthenocarpy Three types of Partheno...

Types of Parthenocarpy Three types of Parthenocarpy are generally recognized: Genetical Environmental, Chemically-induced. Genetical Parthe

Nursing care - megaloblastic anaemia, Planning the Nursing Care   The g...

Planning the Nursing Care   The goals of nursing care are:    Identify the causative factor of megaloblastic anaemia.    Administer appropriate vitamins depending  on

Define mechanism for provide protection against colon cancer, Define Mechan...

Define Mechanisms for Provide protection against colon cancer? Several plausable mechanisms have been formulated by which fibre may provide protection against colon cancer. The

Thyroid-stimulating hormone blood level in hypothyroidism, Q. What happens ...

Q. What happens to the TSH (thyroid-stimulating hormone) blood level in hypothyroidism? Why is there enlargement of the thyroid in the endemic goiter disease? When there is low

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd