{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:19Z","timestamp":1782956659320,"version":"3.54.5"},"reference-count":10,"publisher":null,"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Splenic abscess is a life-threatening condition, which is very rare in children. There is usually an infective focus or pre-disposing factors such as immunodeficiencies towards developing splenic abscesses. Only one case of splenic abscess with brain abscesses in an adult has been reported in the English literature. We, therefore, report a case of an 11-year-old boy who was otherwise healthy, but presented with fever and weight loss for 2 months, right upper abdominal pain, vomiting, hypochondrial tenderness for 1 week and later on developed a left hemiplegia and right facioparesis 2 days before presentation. Diagnosis of splenic abscess and right intracerebral abscesses was confirmed with abdominopelvic ultrasound scan and abdominal and cranial computerised tomographic scans. He subsequently had percutaneous ultrasound-guided drainage of the splenic abscess which was not successful necessitating splenectomy with aggressive antibiotics treatment to which the patient responded with resolution of the brain abscesses and recovery of power in affected limbs. This report aimed to highlight the need for increased suspicion of splenic abscesses in children who are apparently immunocompetent and to add to the knowledge of management of this rare condition in children. We conclude that splenic abscess with intracerebral abscess is a rare but life-threatening condition which is amenable to treatment with drainage of abscess and aggressive guided antimicrobial therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_101_22","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T09:00:17Z","timestamp":1723539617000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Synchronous Splenic and Intracerebral Abscesses in a Child"],"prefix":"10.67481","author":[{"given":"Jideofor Okechukwu","family":"Ugwu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adaobi Chiazor","family":"Emegoakor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvester Okwuchukwu","family":"Obiechina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nwanneka Ogechukwu","family":"Ugwu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunday Patrick","family":"Nkwerem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-20240814","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1177\/000313480607200409","article-title":"Splenic abscess: An easily overlooked disease?","volume":"72","author":"Tung","year":"2006","journal-title":"Am Surg"},{"key":"R2-20240814","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1007\/BF01658678","article-title":"Splenic abscess","volume":"14","author":"Alonso","year":"1990","journal-title":"World J Surg"},{"key":"R3-20240814","doi-asserted-by":"crossref","first-page":"106","DOI":"10.4103\/0189-6725.54774","article-title":"Splenic abscess in children: A report of three patients","volume":"6","author":"Rattan","year":"2009","journal-title":"Afr J Paediatr Surg"},{"key":"R4-20240814","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/00005792-198001000-00003","article-title":"Splenic abscess","volume":"59","author":"Chun","year":"1980","journal-title":"Medicine (Baltimore)"},{"key":"R5-20240814","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/000313480106700118","article-title":"Splenic abscess: Report of six cases and review of the literature","volume":"67","author":"Green","year":"2001","journal-title":"Am Surg"},{"key":"R6-20240814","first-page":"195","article-title":"Splenic abscess and multiple brain abscesses caused by Streptococcus intermedius in a young healthy man","volume":"24","author":"Maliyil","year":"2011","journal-title":"Proc (Bayl Univ Med Cent)"},{"key":"R7-20240814","doi-asserted-by":"crossref","first-page":"101552","DOI":"10.1016\/j.epsc.2020.101552","article-title":"Primary splenic abscess in children","volume":"60","author":"Abiola","year":"2020","journal-title":"J Pediatr Surg Case Rep"},{"key":"R8-20240814","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2016-218595","article-title":"Salmonella Thompson splenic abscess in a healthy female","author":"Bonares","year":"2017","journal-title":"BMJ Case Rep 2017"},{"key":"R9-20240814","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1007\/s00383-013-3336-2","article-title":"Isolated splenic abscess in children, role of splenic preservation","volume":"29","author":"Faruque","year":"2013","journal-title":"Pediatr Surg Int"},{"key":"R10-20240814","doi-asserted-by":"crossref","first-page":"288","DOI":"10.3349\/ymj.2011.52.2.288","article-title":"Splenic abscess: A single institution study and review of the literature","volume":"52","author":"Lee","year":"2011","journal-title":"Yonsei Med J"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_101_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:39Z","timestamp":1782953379000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_101_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,10]]},"references-count":10,"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_101_22","relation":{},"ISSN":["0189-6725"],"issn-type":[{"value":"0189-6725","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4,10]]}}}