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South African Journal of Child Health

On-line version ISSN 1999-7671
Print version ISSN 1994-3032

Abstract

AROOR, S et al. Splenic abscess: Conservative management in children. S. Afr. j. child health [online]. 2019, vol.13, n.1, pp.49-50. ISSN 1999-7671.  http://dx.doi.org/10.7196/SAJCH.2019.V13I1.1537.

Isolated splenic abscess is rare in children, and occurs predominantly in the immunocompromised, with high rates of mortality and morbidity. We reviewed seven cases of splenic abscess managed at our centre. Six out of seven children (aged 7 months - 15 years, four male and three female) had multiple abscesses. Fever, abdominal pain, hepatosplenomegaly and leukocytosis were the predominant clinical manifestations. Burkholderia pseudomallei and coagulase-negative Staphylococcus aureus were isolated as the causative agents in two children. Five children were successfully managed conservatively, and two with ultrasonography-guided aspiration. Early institution of parenteral antibiotics and ultrasonography-/computed tomography-guided aspiration can help in preventing splenectomy in such children.

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