Splenic Abscess Associated with Endocarditis in a Patient on Hemodialysis: A Case Report.
10.3346/jkms.2005.20.2.313
- Author:
Hyun Soo KIM
1
;
Min Seok CHO
;
Seung Hwan HWANG
;
Seong Kwon MA
;
Soo Wan KIM
;
Nam Ho KIM
;
Ki Chul CHOI
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. choikc@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Spleen;
Abscess;
Dialysis;
Renal Dialysis
- MeSH:
Abscess/*etiology/pathology/radiography;
Aged;
Endocarditis, Bacterial/*complications;
Humans;
Male;
Renal Dialysis/*adverse effects;
Splenic Diseases/*etiology/pathology/radiography;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2005;20(2):313-315
- CountryRepublic of Korea
- Language:English
-
Abstract:
Splenic abscess is an unusual condition usually seen in immunocompromised patients or associated with intravenous drug abuses. Several conditions including trauma, immunodeficiency, corticosteroid and/or immunosuppressive therapy and diabetes mellitus have been listed under the predisposing factors for a splenic abscess. Splenic abscess in a patient on hemodialysis is a rare but life-threatening condition if not corrected. We describe a case of splenic abscess with bacterial endocarditis on maintenance hemodialysis. He had staphylococcal septicemia secondary to bacterial endocarditis at the mitral valve from the dialysis accesssite infection. Although hematologic seeding from endocarditis has been the predisposing factor for splenic abscess, we postulate that access-site infections may predispose hemodialysis patients to splenic abscess. Splenic abscess may be considered as one of the causes when patients on hemodialysis develop unexplained fever.
