Abstract
We report the case of a 28-year-old intravenous drug abuser under quadritherapy for stage C3 AIDS and with past history of infectious endocarditis. He was admitted with a diminished general condition, weight loss, progressive unbearable abdominal pain and vomiting, without fever. An inflammatory syndrome is noted and imaging reveals a voluminous splenic abscess. Conservative treatment is initiated with repetitive drainages and intravenous antibiotics. Aetiologies, diagnosis and possible therapeutics of splenic abscesses are discussed.
MeSH terms
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AIDS-Related Opportunistic Infections / diagnosis*
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AIDS-Related Opportunistic Infections / therapy
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Abdominal Abscess / diagnosis*
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Abdominal Abscess / therapy
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Adult
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Anti-Bacterial Agents / therapeutic use
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Bacterial Infections / diagnosis*
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Bacterial Infections / therapy
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Combined Modality Therapy
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Drainage
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Enterobacter cloacae
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Enterobacteriaceae Infections / diagnosis
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Enterobacteriaceae Infections / therapy
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Enterococcus
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Gram-Positive Bacterial Infections / diagnosis
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Gram-Positive Bacterial Infections / therapy
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Humans
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Illicit Drugs
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Male
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Splenic Diseases / diagnosis*
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Splenic Diseases / therapy
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Staphylococcal Infections / diagnosis
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Staphylococcal Infections / therapy
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Substance Abuse, Intravenous / complications
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Tomography, X-Ray Computed
Substances
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Anti-Bacterial Agents
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Illicit Drugs