Journal article
Splenic abscess caused by Cutibacterium acnes in a patient with multiple tooth extractions
BMJ case reports, Vol.16(1), p.e250486
01/25/2023
DOI: 10.1136/bcr-2022-250486
PMCID: PMC9884883
PMID: 36697110
Abstract
A woman in her 40s with a history of dental abscess presenting with a 3-month history of nightly fevers, malaise, fatigue and acutely worsening left flank pain was found to have a splenic abscess replacing almost the entire splenic parenchyma on abdominal CT. Abscess aspirate showed Gram-positive rods, and both aerobic and anaerobic cultures grew
(previously Propionibacterium acnes), a common member of the skin microbiome. Prior case reports of
splenic abscess all involved parental inoculation via needle use. However, in the context of no percutaneous needle exposure and multiple tooth extractions immediately preceding her symptoms, the most likely source of her infection is oral flora with haematogenous or lymphatic spread to the spleen.
Details
- Title: Subtitle
- Splenic abscess caused by Cutibacterium acnes in a patient with multiple tooth extractions
- Creators
- Madalyn Walsh - University of Iowa Hospitals and ClinicsNicholas Wasko - University of Iowa Hospitals and ClinicsAndrew Joseph Simms - University of IowaJacob Hodges - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.16(1), p.e250486
- DOI
- 10.1136/bcr-2022-250486
- PMID
- 36697110
- PMCID
- PMC9884883
- NLM abbreviation
- BMJ Case Rep
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 01/25/2023
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984692635602771
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