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

Effects of kwashiorkor on children, Effects of Kwashiorkor on children ...

Effects of Kwashiorkor on children Kwashiorker is an African word- it means displaced child. The child is weaned out very early and is given foods having high amounts of carboh

Heparinisation, Heparinisation Blood when allowed to flow out from ...

Heparinisation Blood when allowed to flow out from body to the circuit tubings can get clotted. To prevent this, heparinisation is done. Patient is administered 3 mg

List the steps of mitosis, Q. List the steps of mitosis and briefly describ...

Q. List the steps of mitosis and briefly describe what happens in each.

Explain right atrial enlargement, Q. Explain Right Atrial Enlargement ? ...

Q. Explain Right Atrial Enlargement ? The right atrium (RA) is a globular chamber, forming the right heart border on the PA view. On the PA view, the border of the enlarged RA

Express an example of directional selection, The peppered moth experiment w...

The peppered moth experiment was an example of directional selection; due to environmental conditions the directional selection shifted from one extreme to the other in 1850s Engla

Define basic function of secretin in the digestive process, Q. Where is it ...

Q. Where is it produced and what is the function of secretin in the digestive process? Secretin is made in the duodenum the chyme acidity causes the duodenum to release this ho

How many tablets the nurse give him, Mr. Jones' hypertension has not respon...

Mr. Jones' hypertension has not responded adequately to previous dosage of Lozol. His order is now Lozol 5 mg PO q am. Available is Lozol (indapamide) 1.25 mg scored tablets. How m

Define pre-exercise or pre-event meal for athletes, Define Pre-Exercise or ...

Define Pre-Exercise or Pre-Event Meal for athletes? Suitable foods in adequate quantities at all times should be consumed but before the event, strategies to fuel up the energ

What are primary indications for pharmacologic stress, Q. What are primary ...

Q. What are primary indications for pharmacologic stress? The primary indications for pharmacologic stress are inability to exercise or the desire to identify viable myocardium

Determine some dietary sources of vitamin c, Determine some Dietary Sources...

Determine some Dietary Sources of Vitamin C? Fruits (particularly citrus fruits), vegetables are the best sources of ascorbic acid. Amla is the richest source of ascorbic acid.

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