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

Determine the viscosity of solutions, Viscosity Viscosity, as you may ...

Viscosity Viscosity, as you may already know, is associated with fluid flow.  It is the internal friction which tends to bring to rest portions of the fluids moving relative to

Methods of solid waste disposal, Commonly adapted different disposal method...

Commonly adapted different disposal methods by the municipal corporations are: (a)   Open dumping (b)   Land filling (c)    Sanitary land filling pyrolysis (d)   Incine

List a few shortcomings of native starches, List a few shortcomings of nati...

List a few shortcomings of native starches which make it unacceptable in certain food applications. Lack of free-flowing properties of water repellence of the starch granules,

Explain arteries in comparison to veins, Which of the below statements does...

Which of the below statements does NOT apply to arteries when comparing them to veins: a) Have thick walls b) Carry blood away from heart c) Highly elastic walls d) Ha

What is constitutional unit of proteins, Q. What is constitutional unit of ...

Q. What is constitutional unit of proteins? The constitutional units of proteins are the amino acids.

Show examples of annelids, Q What are the few examples of annelids? Ear...

Q What are the few examples of annelids? Earthworms, lugworms and leeches. Q. Which are the morphological features that differentiate the beings of the phylum Annelida from

Discuss about human ears, Ears We have a pair of ears. Each ear has thr...

Ears We have a pair of ears. Each ear has three parts - external, middle and inner ear. The function of the middle ear is transmission of sound waves from external to inner ear

Enumerate about the mycotic infections, Enumerate about the Mycotic Infecti...

Enumerate about the Mycotic Infections Invasion of the nervous system by a fungus is known as a mycotic infection. A fungus is any member of a large group of lower plants (in s

Human impact on the environmetn, what are the two main pollutants that cont...

what are the two main pollutants that contribute to acidic rain?

Define the role of vitamin d in the immune system, Define the Role of Vitam...

Define the Role of Vitamin D in the immune system? Immune responses that are, mediated by T-cells can be inhibited by tile large doses of calcitriol i.e. 1, 25 dihydroxycholec

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