Splenic abscess associated with endocarditis in a patient on hemodialysis: a case report |
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Authors: | Kim Hyun Soo Cho Min Seok Hwang Seung Hwan Ma Seong Kwon Kim Soo Wan Kim Nam Ho Choi Ki Chul |
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Affiliation: | Department of Internal Medicine, Chonnam National University Medical School, Gwangju 501-757, Korea. |
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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 access-site 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. |
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Keywords: | Spleen Abscess Dialysis Renal Dialysis |
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