{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:17:35Z","timestamp":1791483455016,"version":"4.3.4"},"reference-count":27,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,23]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Splenic abscess is a rare entity, however if unrecognised or left untreated, it is invariably fatal. We herein report a case of splenic abscess in a 40-year-old man presenting with fever, left-sided abdominal pain, altered sensorium and vomiting. On clinical examination, hepatosplenomegaly was noted and the ultrasound of the abdomen showed multiple hypoechoic regions in the upper pole of spleen, and the diagnosis of splenic abscess was made. The patient received antimicrobial therapy and underwent an open splenectomy with full recovery. Pus aspirated from the splenic abscess grew an unusual organism named <jats:italic>Parabacteroides distasonis<\/jats:italic>. In the literature, there are only a few recorded cases of <jats:italic>P. distasonis<\/jats:italic> causing splenic abscess. Through this case report, we would like to emphasise the pathogenic role of <jats:italic>P. distasonis<\/jats:italic> in causing clinical disease, as this organism is typically known to constitute a part of the normal flora.<\/jats:p>","DOI":"10.1136\/bcr-2020-236701","type":"journal-article","created":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T23:30:39Z","timestamp":1607902239000},"page":"e236701","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Pathogenic potential of <i>Parabacteroides distasonis<\/i> revealed in a splenic abscess case: a truth unfolded"],"prefix":"10.1136","volume":"13","author":[{"given":"Anitha","family":"Gunalan","sequence":"first","affiliation":[{"name":"Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakhi","family":"Biswas","sequence":"additional","affiliation":[{"name":"Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balamurugan","family":"Sridharan","sequence":"additional","affiliation":[{"name":"General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thirthar Palanivelu","family":"Elamurugan","sequence":"additional","affiliation":[{"name":"General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,12,13]]},"reference":[{"key":"2025082803363470000_13.12.e236701.1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/00129689-200410000-00013","article-title":"Laparoscopic splenectomy for splenic abscess","volume":"14","author":"Carbonell","year":"2004","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082803363470000_13.12.e236701.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2009.04.009"},{"key":"2025082803363470000_13.12.e236701.3","first-page":"39","article-title":"Splenic abscess in southern Taiwan","volume":"37","author":"Lee","year":"2004","journal-title":"J Microbiol Immunol Infect"},{"key":"2025082803363470000_13.12.e236701.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2008.08.024"},{"key":"2025082803363470000_13.12.e236701.5","doi-asserted-by":"publisher","DOI":"10.1099\/00222615-47-12-1075"},{"key":"2025082803363470000_13.12.e236701.6","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i3.460"},{"key":"2025082803363470000_13.12.e236701.7","first-page":"488","article-title":"Intrasplenic abscess: two case reports and review of the literature","volume":"47","author":"Gangahar","year":"1981","journal-title":"Am Surg"},{"key":"2025082803363470000_13.12.e236701.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.anaerobe.2014.10.008"},{"key":"2025082803363470000_13.12.e236701.9","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.31.10.1596"},{"key":"2025082803363470000_13.12.e236701.10","unstructured":"Wayne P . 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