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Title: Febre crônica associada a abscesso esplênico causado por Staphylococcus epidermidis
Chronic fever associated with splenic abscess due to Staphylococcus epidermidis
Authors: Carvalho, Juliana Salles de
Carranza-Tamayo, César Omar
Romero, Gustavo Adolfo Sierra
Assunto:: Abscesso esplênico
Febre prolongada
Abdômen
Issue Date: 2007
Publisher: Sociedade Brasileira de Medicina Tropical - SBMT
Citation: Rev. Soc. Bras. Med. Trop.,v.40,n.5,p.588-590,2007
Abstract: Abscessos ocultos são causa freqüente de febre crônica. Os abscessos esplênicos são entidades raras, usualmente associadas a quadros subjacentes de cirurgia abdominal, endocardite ou imunodepressão. Apresenta-se um caso de paciente com febre prolongada causada por um abscesso esplênico, cujo principal diagnóstico diferencial era leishmaniose visceral, que provavelmente esteve associado a traumatismo abdominal. O tratamento consistiu em antibioticoterapia seguida de esplenectomia.
Occult abscesses are frequent causes of chronic fever. Splenic abscesses are rare entities that are usually associated with underlying conditions such as abdominal surgery, endocarditis or immunodepression. We report on the case of a patient with prolonged fever caused by a splenic abscess, whose main differential diagnosis was visceral leishmaniasis. However, this condition was probably related to abdominal trauma. The treatment consisted of antibiotics followed by splenectomy.
DOI: https://dx.doi.org/10.1590/S0037-86822007000500019
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