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Splenic Abscess

Splenic Abscess is a topic covered in the Johns Hopkins ABX Guide.

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  • Polymicrobial in up to 25% including anaerobes.
    • Given that most splenic abscesses are secondary to bacteremia or fungemia (e.g., associated with endocarditis, UTI, pancreatitis, GI tract, etc.), the likely pathogen(s) are determined by original focus.
  • Gram-negative bacilli, especially
  • Staphylococcus aureus
  • Streptococci
  • Enterococci
  • Anaerobes
  • Candida spp.
    • Neutropenia and chronic corticosteroid use predispose to candidal splenic abscesses.
    • Chronic disseminated candidiasis (formerly hepatosplenic candidiasis) often include frank candidal splenic abscesses.
  • Mycobacteria
    • Tuberculosis
  • Rare:

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Last updated: September 3, 2017


Carpenter, Christopher F, and Nick Gilpin. "Splenic Abscess." Johns Hopkins ABX Guide, The Johns Hopkins University, 2017. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540514/all/Splenic_Abscess.
Carpenter CF, Gilpin N. Splenic Abscess. Johns Hopkins ABX Guide. The Johns Hopkins University; 2017. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540514/all/Splenic_Abscess. Accessed August 18, 2019.
Carpenter, C. F., & Gilpin, N. (2017). Splenic Abscess. In Johns Hopkins ABX Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540514/all/Splenic_Abscess
Carpenter CF, Gilpin N. Splenic Abscess [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2017. [cited 2019 August 18]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540514/all/Splenic_Abscess.
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TY - ELEC T1 - Splenic Abscess ID - 540514 A1 - Carpenter,Christopher,M.D. AU - Gilpin,Nick,D.O. Y1 - 2017/09/03/ BT - Johns Hopkins ABX Guide UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540514/all/Splenic_Abscess PB - The Johns Hopkins University DB - Johns Hopkins Guide DP - Unbound Medicine ER -