## Overview A splenic abscess is a focal infection within the spleen, often from hematogenous spread of Streptococcus species (including bastard strangles) or secondary to trauma. Signs are nonspecific: intermittent fever, weight loss, recurrent colic, and elevated fibrinogen. Ultrasound shows a hypoechoic mass in the spleen. Prognosis is poor. ## Causes Bacterial seeding, most often Streptococcus. ## Diagnosis Ultrasound and aspiration with culture. ## Treatment Long-term antibiotics and, when feasible, surgical drainage or splenectomy. Survival is limited. ## Recovery and Prognosis Poor. Many cases do not survive. ## Prevention Strangles control.
intermittent fever; weight loss; recurrent colic; elevated fibrinogen; hypoechoic splenic mass on ultrasound
## Overview A splenic abscess is a focal infection within the spleen, often from hematogenous spread of Streptococcus species (including bastard strangles) or secondary to trauma. Signs are nonspecific: intermittent fever, weight loss, recurrent colic, and elevated fibrinogen. Ultrasound shows a hypoechoic mass in the spleen. Prognosis is poor. ## Causes Bacterial seeding, most often Streptococcus. ## Diagnosis Ultrasound and aspiration with culture. ## Treatment Long-term antibiotics and, when feasible, surgical drainage or splenectomy. Survival is limited. ## Recovery and Prognosis Poor. Many cases do not survive. ## Prevention Strangles control.
intermittent fever; weight loss; recurrent colic; elevated fibrinogen; hypoechoic splenic mass on ultrasound