Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Agbeille Mohamed Falilatou^1ID*, Hadonou Armel Ayaovi², Noudamadjo Alphonse¹, Kpanidja Métédinmè Gérard¹, Doha Fabrice², Adédemy Julien Didier¹, Agossou Joseph^1
1Mother and Child Department of the Faculty of Medicine, University of Parakou, Parakou, Benin
²Department of Surgery and Surgical Specialties, Faculty of Medicine, University of Parakou, Parakou, Benin

Corresponding Author: Agbeille Mohamed Falilatou ^{ORCID iD}
Address: Pediatrician, Faculty of Medicine, University of Parakou, Parakou, Benin.
Received date: 12 July 2023; Accepted date: 08 August 2023; Published date: 15 August 2023

Citation: Agbeille Mohamed F, Hadonou AA, Noudamadjo A, Kpanidja MG, Doha F, Adédémy JD, Agossou J. Massive Splenic Infarction Abscess in A Teenager with Sickle Cell Disease: A Case Report in Northern Benin. Asp Biomed Clin Case Rep. 2023 Aug 15;6(3):206-10.

Copyright © 2023 Agbeille Mohamed F, Hadonou AA, Noudamadjo A, Kpanidja MG, Doha F, Adédémy JD, Agossou J. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Abscess, Spleen, Sickle Cell Disease, Child, CHUD-B/A, Benin

Abstract

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.