Asploro Journal of Biomedical and Clinical Case Reports
Article Type: Case Report
Asp Biomed Clin Case Rep. 2023 Aug 15;6(3):206-10
Agbeille Mohamed Falilatou1ID*, Hadonou Armel Ayaovi2, Noudamadjo Alphonse1, Kpanidja Métédinmè Gérard1, Doha Fabrice2, Adédemy Julien Didier1, Agossou Joseph1
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
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.