Splenic Abscess in Patients With Prior History of Enteric Fever: A Case Series

Splenic abscess remains a cause of high morbidity and mortality when not treated on time. We report two cases of splenic abscess who presented with complaints of fever and pain in the abdomen. Both patients were previously diagnosed with enteric fever. The contributory factor for splenic abscess in both cases was non-adherence to antibiotic therapy. Splenic abscesses are caused by a wide range of microorganisms. Blood culture and pus aspirated from the abscess are important to ascertain the microorganisms and their antibiotic susceptibility pattern. Earlier, splenectomy was the mainstay of treatment; however, in our cases, ultrasonography-guided percutaneous aspiration and laparoscopic drainage of abscess with intravenous (IV) antibiotic therapy helped in the complete resolution of the abscess.