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

Ovary is half-inferior in which flower, Ovary is half-inferior in the flowe...

Ovary is half-inferior in the flowers of : 1. Guava 2. Plum 3. Brinjal 4. Cucumber Plum is the flower in which ovary is half - inferior

State the term - neuropsychologists, State the term - neuropsychologists ...

State the term - neuropsychologists Disorders of speech, language, reading, writing, and mathematical abilities are understood in terms of linguistics and the psychology of lan

Limitations of ecological pyramids, Limitations of Ecological Pyramids ...

Limitations of Ecological Pyramids The pyramid of energy is a significant improvement over the previous two types of ecological pyramids, yet all of them overlook one or anot

Chordates, what are the general characters of chordates? At least 10 charac...

what are the general characters of chordates? At least 10 characters.

Metabolic alterations and nutritional problems - cancer, Metabolic Alterati...

Metabolic Alterations and the Resultant Nutritional Problems/ Clinical Manifestations Associated With Cancer? Several research studies have shown that malignant growth (cancer)

Types of stem cells-pulp tissue revascularization, Embryonic stem cells: c...

Embryonic stem cells: can differentiate into all cell types of the specialized embryonic tissues when given sufficient and necessary stimulation for a specific cell type, e.g. Plu

What are the cnidocytes, Q. What are the cnidocytes? What is the name of th...

Q. What are the cnidocytes? What is the name of the capsule inside the cnidocyte? What are the biological functions of this structure? Cnidocytes are specific cells present in

Why is a leguminous crop rotation used in agriculture, Q. Why is a legumino...

Q. Why is a leguminous crop rotation used in agriculture? The Leguminous crop rotation and other crop rotations are used in agriculture for the reason that in these plants many

Which is utilized by other reactions, The breakdown of ATP releases energy,...

The breakdown of ATP releases energy, which is utilized by other reactions that require energy. Identify other examples where inventions have utilized a similar principle, where en

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