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논문분류	춘계학술대회 초록집
제목	Splenic Abscess in a Post Kidney Transplant Patient
저자	Marcelle Louise Aquino
출판정보	2025; 2025(1):
키워드	Kidney transplant, Splenic abscess, Liver abscess , Splenectomy, Antimicrobial therapy
초록	Splenic abscess is a rare finding with incidence of 0.02 to 0.7% Mortality is between 0 to 47%. It results from the hematogenous spread or contiguous infections, commonly involving organisms such as Streptococcus, Staphylococcus, and anaerobes. This patient’s long-term immunosuppression, post-transplant status, and prior coronary interventions were significant risk factors. A 55-year-old, male, post kidney transplant 17 years ago, presented with 3 months history of fever and abdominal pain. Computed tomography (CT) scan of the abdomen with contrast showed hypodense foci in the spleen in the arterial phase with internal septations with nodules in the liver. He was managed as splenic abscess and was treated with broad sprectrum intravenous antimicrobials. He was referred to surgery and underwent total splenectomy. Histopathology was consistent with splenic tissues with abscess formation and extensive necrosis. Culture yielded Burkholderia cepaciae and was treated with ceftazidime for 14 days. The patient was discharged and continued oral antibiotics for the micro abscesses in the liver. Oral antimicrobial therapy was given for at least 8 more weeks and monitoring of liver micro abscesses was done via abdominal ultrasound. He was also given appropriate vaccination for asplenic patients to cover for encapsulated bacteria.
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