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Rare bugs in the new millennium: Splenic abscess and iliopsoas abscess – Case series

Year: 2026

Type: article

Abstract: Splenic abscess is a rare but serious condition, with mortality rates reaching nearly half of affected patients and approaching 100% without antibiotic therapy. Timely management can reduce mortality to below 10%. Clinical signs are often non-specific, making diagnosis challenging, though history and examination may raise suspicion. Hematogenous spread from distant infections is the most common cause, with aerobes frequently implicated. Typical pathogens include Gram-positive cocci such as Streptococcus, Staphylococcus, and Enterococcus, as well as Gram-negative bacilli such as Escherichia coli, Klebsiella, Proteus, Pseudomonas, and Salmonella. Iliopsoas abscess rarely arises from contiguous or hematogenous infection, with variable presentation and notable relapse risk. We report 3 such cases and all the patient recovered clinically and better outcome was noted. A brief review of the literature pertaining to these cases is also studied.

Source: Asian Journal of Medical Sciences

DOI: 10.71152/ajms.v17i5.5250

Authors: Ramani CP, Sujatha K, Pavya R, Monica Raj SP, Adlin Tabitha M

Institution: Government General Hospital

Language: English

Topic: Infectious Diseases and Tuberculosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $200