Splenic Abscess Associated with Infective Endocarditis Treated Successfully with Medical Management: A Rare Clinical Outcome

Splenic abscess is a rare clinical finding, with a reported prevalence between 0.14 % and 0.7 % in various autopsy series. Splenic abscess usually occurs in patients with underlying disease such as diabetes, haemoglobinopathies, immunodeficiency, malignancy and infective endocarditis or with history of intravenous drug abuse. Infective endocarditis is often complicated by splenic abscess and is usually successfully treated by splenectomy and valve replacement. Splenic abscess, not associated with infective endocarditis usually requires splenectomy and only a few cases have been treated conservatively but those associated with infective endocarditis requires mandatory splenectomy and till date only a single case has been reported that has been treated successfully with medical management. We present here a case that has been successfully treated medically and has been doing well on follow-up of 9 months.