Open AccessAbscess of the spleen in a patient with infectious endocarditis
Author(s) -
Leonid I. Dvoretsky,
S. V. Yakovlev,
Е. В. Сергеева,
Svetlana E. Kolendo
Publication year - 2018
Publication title -
terapevtičeskij arhiv
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.181
H-Index - 14
eISSN - 2309-5342
pISSN - 0040-3660
DOI - 10.26442/terarkh2018901198-101
Subject(s) - medicine , spleen , endocarditis , abscess , splenectomy , vasculitis , infective endocarditis , aortic valve , splenic disease , surgery , pathology , disease
A patient with infective endocarditis (IE), complicated by the development of the abscess of the spleen, is described. The diagnosis of IE was verified several months after the onset of clinical symptoms (fever, hemorrhagic skin rashes, splenomegaly).The patient suspected hemorrhagic vasculitis and lymphoma of the spleen, which were not confirmed. With transesophageal echocardiography, vegetations on the aortic valve have been identified, and, according to CT, a spleen infarct with suspected abscess. A successful simultaneous operation was performed - aortic valve replacement and splenectomy. An abscess was found in the spleen. The patient is discharged in a satisfactory condition.