caa a22 4500 477069983 CHVBK 20180405111422.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF01691960 doi (NATIONALLICENCE)springer-10.1007/BF01691960 Spontaneous rupture of the spleen associated with pneumonia [Elektronische Daten] [P. Domingo, P. Rodríguez, J. López-Contreras, P. Rebasa, S. Mota, X. Matias-Guiu] Spontaneous rupture of the spleen is a rare and life-threatening complication of bacterial pneumonia, only six properly documented cases having been reported to date. A case of spontaneous splenic rupture associated with pneumonia caused byLegionella pneumophila is presented, together with a review of the literature. Most of the patients were aged over 50, but none had predisposing conditions. Left lung involvement predominated. Legionellosis and Q fever were the most frequent etiologic diagnoses. Empiric antibiotic therapy was adequate in all but two patients. One patient died; he had not undergone laparotomy. Spontaneous rupture of the spleen is an extremely rare complication of bacterial pneumonia that endangers the patient's life if surgery is not performed immediately. This complication should be borne in mind in patients with atypical pneumonia who have left quadrant pain and a falling hematocrit, even in the absence of prior splenomegaly. MMV Medizin Verlag GmbH, 1996 Domingo P. Department of Internal Medicine, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut Rodríguez P. Department of Microbiology, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut López-Contreras J. Department of Internal Medicine, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut Rebasa P. Department of Surgery, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut Mota S. Department of Pneumology, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut Matias-Guiu X. Department of Pathology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/9(1996-09-01), 733-736 0934-9723 15:9<733 1996 15 10096 https://doi.org/10.1007/BF01691960 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01691960 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Domingo P. Department of Internal Medicine, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut NATIONALLICENCE 700 1- Rodríguez P. Department of Microbiology, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut NATIONALLICENCE 700 1- López-Contreras J. Department of Internal Medicine, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut NATIONALLICENCE 700 1- Rebasa P. Department of Surgery, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut NATIONALLICENCE 700 1- Mota S. Department of Pneumology, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut NATIONALLICENCE 700 1- Matias-Guiu X. Department of Pathology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Avgd a. Sant Antoni Ma Ciaret 167, 08025, Barcelona, Spain aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/9(1996-09-01), 733-736 0934-9723 15:9<733 1996 15 10096 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer