贝宁北部一例镰状细胞病青少年大面积脾梗死脓肿

A. Falilatou, Hadonou Armel Ayaovi, Noudamadjo Alphonse, Kpanidja Métédinmè Gérard, Doha Fabrice, A. Didier, Agossou Joseph
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引用次数: 0

摘要

简介:小儿脾脓肿罕见。本报告讨论了一例脾脓肿并发梗死的青少年在博古/阿里博里教学医院在贝宁共和国。患者和观察:患者是一名14岁的青少年,患有血红蛋白病(SC),因全身腹痛伴有发烧和干咳而入院儿科。体格检查时,他表现为感染综合征、全身腹痛、高度敏感性脾肿大、左肺实变和严重营养不良。腹部超声和胸腹ct扫描显示脾梗死脓肿。在药物治疗后,包括广谱抗生素治疗和镇痛,进行全脾切除术。术中脾脏呈灰色,含脓液,经细胞细菌学检查,分离出一株对阿莫西林-克拉维酸联合用药敏感的肺炎克雷伯菌。在这种治疗下,病人病情好转。结论:镰状细胞病患者出现疼痛性脾肿大和发热性脾肿大时应怀疑有脾脓肿。
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Massive Splenic Infarction Abscess in A Teenager with Sickle Cell Disease: A Case Report in Northern Benin
Introduction: Splenic abscess is rare in children. This report discusses a case of splenic abscess complicating an infarction in a teenager at the Teaching Hospital of Borgou/Alibori in Benin Republic. Patient and Observation: The patient was a 14-year-old teenager with hemoglobinopathy (SC), admitted to the pediatric department for generalized abdominal pain associated with fever and a dry cough. On physical examination, he presented with an infectious syndrome, generalized abdominal pain, highly sensitive splenomegaly, left lung consolidation, and severe malnutrition. Abdominal ultrasound and thoraco-abdominal CT-scan revealed a splenic infarction abscess. Following medical treatment, which included broad-spectrum antibiotic therapy and analgesia, a total splenectomy was performed. During surgery, the spleen appeared greyish and contained pus, which, upon cytobacteriological examination, isolated a Klebsiella pneumoniae strain sensitive to the combination of amoxicillin-clavulanic acid. The patient showed favorable evolution under this treatment. Conclusion: Splenic abscess should be suspected in any subject with sickle cell disease presenting with painful and febrile splenomegaly.
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