Splenic abscess

Uncommon

• Unilocular (66%),
  • Usually healthy patients
  • MR 15-20%
• Multilocular,
  • Immunocompromised
  • MR 80%
• Risk factors: Cancer, polycythaemia, endocarditis, trauma, hemoglobinopathy, UTI, IVDU, AIDs
  • 70% hematogenous spread
    • Endocarditis, osteomyelitis, IVDU
  • Can also have direct spread
    • Colon, kidney, pancreas
• Microorganisms
  • Staph, strep, enterococcus, mycobacterium, Actinomyces, candida
• Management
  • Single– drain + Abx – success 75-90%
  • Multiple - splenectomy