Saad Jawaid, Wajeeha Ali Khan.
Septic Shock Secondary to Emphysematous Splenic Abscess.
South Asian J Emerg Med Jan ;2(1):37-9.

Splenic abscess is rarely encountered nowadays, and the most common predisposing factor is bacteremia. Classically, endocarditis is seen to be associated with splenic abscess but any cause of bacteremia, ranging from enteric fever to intravenous line infection, to urinary tract infection may result in a splenic abscess. Since urinary tract infection (UTI) is common in females and bacteremia complicating this infection is frequently seen which has the potential to cause a splenic abscess. Here, we present a case of septic shock secondary to emphysematous splenic abscess caused by Escherichia coli (E. coli) bacteremia complicating urinary tract infection (UTI). It was presented in the emergency department with a complaint of abdominal pain associated with fever and vomiting and was diagnosed with the help of ultrasound and computed tomography (CT) scan of the abdomen. The patient was initially managed with intravenous antibiotics and subsequently, splenectomy was performed.

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