Culture-negative cryptogenic splenic abscess in an immunocompetent host with recurrent misdiagnosis as pleural effusion: a case report with a review of the literature - Summary - MDSpire
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Culture-negative cryptogenic splenic abscess in an immunocompetent host with recurrent misdiagnosis as pleural effusion: a case report with a review of the literature
To report a case of cryptogenic, culture-negative splenic abscess in an immunocompetent male and illustrate the diagnostic challenges.
Approach:
Case Description: A 52-year-old immunocompetent male presented with fever and abdominal pain after being misdiagnosed with pneumonia and pleural effusion. Diagnostic imaging and laboratory tests led to the identification of a splenic abscess.
Key Findings:
The patient had a culture-negative splenic abscess, initially misdiagnosed as pleural effusion.
Surgical intervention was necessary due to the failure of antibiotic therapy.
Interpretation:
Culture negativity in splenic abscess cases should prompt consideration for surgical intervention rather than delay.
Limitations:
The case highlights the diagnostic challenges in identifying splenic abscesses, particularly in immunocompetent patients without clear predisposing factors.
Conclusion:
This case highlights the importance of timely diagnosis and intervention in culture-negative splenic abscess.
