Abstract
BackgroundSplenic abscesses in children are rare. In recent years aseptic abscesses have been recognized as a new disease entity, especially in adults.Case presentationWe present a rare case of a 15 year old girl with aseptic abscesses, in whom antibiotic therapy comprising metronidazole and meropenem was partly beneficial in improving the patient’s clinical condition and inflammatory parameters. Eventually corticosteroid therapy led to complete and long lasting resolution of symptoms. Further diagnostic work-up revealed autoimmune thyroiditis, but no signs of inflammatory bowel disease.ConclusionAseptic splenic abscesses should always prompt clinicians to initiate further diagnostics to determine a potential underlying condition and a regular follow-up. Anaerobic bacteria may play a role in the pathogenesis of the disease and besides corticosteroid treatment antibiotics covering anaerobes may be beneficial.
Highlights
Splenic abscesses represent a rare disease entity which is even rarer in the paediatric age group
Malignant splenic lesions can mimic abscesses if they are of the hypoechoic texture in ultrasound examination [3]
The spleen is the most frequently involved organ, but aseptic abscesses can be found in abdominal lymph nodes, liver, lung, pancreas or the brain
Summary
Aseptic splenic abscesses should always prompt clinicians to initiate further diagnostics to determine a potential underlying condition and a regular follow-up.
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