The Compound of Ruptured Splenic Abscess and Severe Anemia: The Potential Life-Threatening Twins Requiring Specialized Care in Limited Resourced Rural Areas in Kilombero, Morogoro Tanzania

Authors

  • Fassil Tekie Department of Surgery, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania and Department of Surgery, Saint Francis Regional Referral Hospital, P.O.BOX 73, Ifakara, Morogoro, Tanzania.
  • Theresia Andrea Karuhanga Department of Surgery, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania and Department of Surgery, Saint Francis Regional Referral Hospital, P.O.BOX 73, Ifakara, Morogoro, Tanzania.
  • Wilfred Gingo Department of Surgery, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania and Department of Surgery, Saint Francis Regional Referral Hospital, P.O.BOX 73, Ifakara, Morogoro, Tanzania.
  • Sadikiel Kaale Department of Biochemistry, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania.
  • Philbert Madoshi Department of Microbiology, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania.

DOI:

https://doi.org/10.9734/bpi/mria/v7/849

Keywords:

Splenic abscess, peritonitis, virulence, hemolysins, AMR

Abstract

The ruptured splenic abscess is usually uncommon but associated with significant life-threatening. Concurrence of ruptured splenic abscess and severe anemia may lead to death if not treated effectively, especially in limited health care. We present the 43-year-old who presented with generalized peritonitis due to a ruptured spleen. Also, she had severe anemia with hb of 4.3 g/dl. The cause of anemia was not immediately identified. However, tests for bacterial sensitivity revealed Klebsiella pneumoniae which was resistant to Ceftriaxone, Amoxiclav, Ceftizine and Cotrimoxazole but sensitive to Meropenem, Ciprofloxacin and Vancomycin. After the result, the treatment shifted to Meropenem1 Gm tds for 5/7. After seven days in the ward, the patient fully recovered and she was discharged in good condition.

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Published

2024-06-18

How to Cite

Fassil Tekie, Theresia Andrea Karuhanga, Wilfred Gingo, Sadikiel Kaale, & Philbert Madoshi. (2024). The Compound of Ruptured Splenic Abscess and Severe Anemia: The Potential Life-Threatening Twins Requiring Specialized Care in Limited Resourced Rural Areas in Kilombero, Morogoro Tanzania. Medical Research and Its Applications Vol. 7, 104–111. https://doi.org/10.9734/bpi/mria/v7/849

Issue

Medical Research and Its Applications Vol. 7

Section

Chapters