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Case Reports
A Case of Splenic Abscess with Multiple Fistulas Caused by Klebsiella pneumoniae
Seung Bock Lee, M.D., Chang Keun Choi, M.D., Byung Jin Ahn, M.D.An Chul Jeong, M.D., Myoung Soo Ahn, M.D. and Jae Joong Baik, M.D.
Department of Internal Medicine, National Medical Center, Seoul, Korea
Vol.30 Num.3 (p312~315)
Splenic abscess is an uncommon but frequently fatal condition. Signs and symptoms are variable and do not always include left upper quadrant pain or tenderness. Unexplained thrombocytosis in a septic patient with persistent left pleural effusion is suggestive of splenic abscess. We report a case of splenic abscess with complicated multiple fistulas by Klebsiella pneumoniae which was successfully managed by antibiotic therapy, and percutaneous catheter drainage.
Keywords : Klebsiella pneumoniae, Splenic abscess, Multiple fistulas