[HSF] Endocarditis with splenic infarct

[erdinç naseri]

Prasanna,
this is not a splenic abcess.It is splenic infarct( proved by abdominal CT I think) and there isno indication of splenectomy.
 
erdinc> Date: Thu, 31 May 2007 21:12:31 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Endocarditis with splenic infarct> CC: > > Nand . there was a paper from Leipzig (Roberto's hospital) where they > found a higher mortality of a splenic abscess if a splenectomy is not done.> Prasanna> nand kejriwal wrote:> > Dear members> >> > 47 year man, admitted 2 weeks back with mitral valve endocarditis with> > vegetation. Blood culture - Enterococcus faecalis. Put on Gentamycin and> > Amoxycillin and discahrged. Readmitted 3 days ago with severe abdominal> > pain.> > CT - acute splenic infarct. No evidence of abscess formation. at this > > stage.> >> > Repeat TOE - vegetation still the same size.> > Referred to me today. I am planning to operate tomorrow.> >> > Opinion of the forum regarding splenic infarct. My plan is to leave the> > spleen alone and follow it up in the postop period. What are the > > chances of> > bleeding into the infarct during heparinisation? Would anyone recommend> > concomitant splenectomy?> >> > Thanks> >> > nand> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the > > policies and disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> >> > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------