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Splenic Abscess Associated with Endocarditis in a Patient on Hemodialysis: A Case Report

Kim, Hyun Soo    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.   ); Cho, Min Seok    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.   ); Hwang, Seung Hwan    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.   ); Ma, Seong Kwon    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.   ); Kim, Soo Wan    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.   ); Kim, Nam Ho    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.   ); Choi, Ki Chul    (Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.  );
  • 초록

    Splenic abscess is an unusual condition usually seen in immunocompromised patients or associated with intravenous drug abuses. Several conditions including trauma, immunodeficiency, corticosteroid and/or immunosuppressive therapy and diabetes mellitus have been listed under the predisposing factors for a splenic abscess. Splenic abscess in a patient on hemodialysis is a rare but life-threatening condition if not corrected. We describe a case of splenic abscess with bacterial endocarditis on maintenance hemodialysis. He had staphylococcal septicemia secondary to bacterial endocarditis at the mitral valve from the dialysis accesssite infection. Although hematologic seeding from endocarditis has been the predisposing factor for splenic abscess, we postulate that access-site infections may predispose hemodialysis patients to splenic abscess. Splenic abscess may be considered as one of the causes when patients on hemodialysis develop unexplained fever.


  • 주제어

    Spleen .   Abscess .   Dialysis .   Renal Dialysis.  

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