Abscess of the spleen in a patient with infectious endocarditis


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Abstract

A patient with infective endocarditis (IE), complicated by the development of the abscess of the spleen, is described. The diagnosis of IE was verified several months after the onset of clinical symptoms (fever, hemorrhagic skin rashes, splenomegaly).The patient suspected hemorrhagic vasculitis and lymphoma of the spleen, which were not confirmed. With transesophageal echocardiography, vegetations on the aortic valve have been identified, and, according to CT, a spleen infarct with suspected abscess. A successful simultaneous operation was performed - aortic valve replacement and splenectomy. An abscess was found in the spleen. The patient is discharged in a satisfactory condition.

About the authors

L I Dvoretsky

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

Email: dvoretski@mail.ru
проф., зав. каф. госпитальной терапии №2 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Moscow, Russia

S V Yakovlev

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

проф. каф. госпитальной терапии №2 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Moscow, Russia

E V Sergeeva

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

доцент каф. госпитальной терапии №2 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Moscow, Russia

S E Kolendo

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

доцент каф. госпитальной терапии №2 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Moscow, Russia

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