{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:07:46Z","timestamp":1777907266507,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,12,25]],"date-time":"2020-12-25T00:00:00Z","timestamp":1608854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>Splenic abscess is a relatively uncommon condition, posing a diagnostic and therapeutic challenge for the treating physician. It occurs due to haematogenous spread from endocarditis or other septic foci, especially in immune-compromised individuals and diabetics. We describe an elderly male who presented with splenomegaly and low-grade fever with no predisposing factors. Examination revealed a tender splenomegaly. Ultrasonography (US) showed a hypoechoic area within the spleen from which guided aspiration of pus grew Staphylococcus aureus and Klebsiella pneumoniae. Percutaneous drainage and culture-based antibiotics failed to resolve the abscess, obligating surgical drainage. Intraoperative biopsy from the abscess wall was reported as splenic marginal lymphoma. This unusual presentation of lymphoma needs to be considered in splenic abscess without known risk factors.<\/jats:p>","DOI":"10.1177\/0049475520981305","type":"journal-article","created":{"date-parts":[[2020,12,25]],"date-time":"2020-12-25T11:48:07Z","timestamp":1608896887000},"page":"251-252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A non-resolving splenic \u2018abscess\u2019 in an elderly male \u2013 An unusual manifestation of splenic lymphoma"],"prefix":"10.1177","volume":"51","author":[{"given":"Raj K","family":"Nagarajan","sequence":"first","affiliation":[{"name":"Associate Professor, Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balasubramanian","family":"Gopal","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7407-1819","authenticated-orcid":false,"given":"Muhamed","family":"Tajudeen","sequence":"additional","affiliation":[{"name":"Junior Resident, Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarath C","family":"Sistla","sequence":"additional","affiliation":[{"name":"Professor, Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3148-8822","authenticated-orcid":false,"given":"K","family":"Balamourougan","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,25]]},"reference":[{"key":"bibr1-0049475520981305","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/000313480106700118","volume":"67","author":"Green BT","year":"2001","journal-title":"Am Surg"},{"key":"bibr2-0049475520981305","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.72.862.10673946"},{"key":"bibr3-0049475520981305","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.179.3.1790629"},{"key":"bibr4-0049475520981305","first-page":"55","volume":"38","author":"Liu KY1","year":"2000","journal-title":"S Afr J Surg"},{"key":"bibr5-0049475520981305","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdn202"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520981305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475520981305","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520981305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:33:03Z","timestamp":1777642383000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475520981305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,25]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1177\/0049475520981305"],"URL":"https:\/\/doi.org\/10.1177\/0049475520981305","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,25]]}}}