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

Hepatic portal system and the pulmonary circuit, Trace the flow of blood th...

Trace the flow of blood through the systemic circuit (hepatic portal system) and the pulmonary circuit, beginning and ending in the left ventricle .  You will be using named chamb

Root - plant water relation, Root - Plant Water Relation Root system i...

Root - Plant Water Relation Root system is directly related to the absorption of water and its growth under field conditions is very much influenced by soil. In dry land agric

What is suppuration, Suppuration High number of PMN cells have been det...

Suppuration High number of PMN cells have been detected around implants that are associated with severe signs of mucosal inflammation. Several studies have shown the presence o

Excretory organs, The excretory organs and excretory materials of plants an...

The excretory organs and excretory materials of plants and animals

What are the main interspecific ecological interactions, Q. What are the ma...

Q. What are the main interspecific ecological interactions? The major harmonious interspecific ecological interactions are: protocooperation, commensalism and mutualism. The ma

Functions of iron in the body, functions of iron in the body: Iron i...

functions of iron in the body: Iron is the major component in haemoglobin. It helps to carryout oxygen from lungs to the tissues. About 60 to 70% of Iron in the body i

Coelom - metazoa, Coelom - Metazoa True coelom is a body cavity which ...

Coelom - Metazoa True coelom is a body cavity which arises within the embryonic mesoderm so that the cavity lies between the body wall (integument; ectoderm) and guts (endoder

Write a short note on muscular system, Write a short note on muscular syste...

Write a short note on muscular system? The muscular system provides mobility and support to the body. There are three types of muscle tissue: skeletal, smooth, and cardiac. Th

Infectious diseases, what are pathogenic characteristics of protoctista?

what are pathogenic characteristics of protoctista?

Matter of gene control and imprinting, Differentiation is largely a matter ...

Differentiation is largely a matter of gene control and imprinting (CH3) plays a role, but ___ may also play a role.

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