Amoebic Splenic Abscess A Rare Case Report

Abstract

Primary splenic amoebic infections are rare and more commonly seen in immunocompromised patients. Though amoebic infection is common in tropical regions or areas having poor hygienic practices. It’s the 3rd most common cause of parasitic death and has 15% prevalence in India. Review of literature has shown several species that cause splenic amoebiasis followed by Amoebiasis colitis due to feco-oral transmission. In this case, The entry of amoeba into the spleen may be explained by trauma due to the increased movement of fluid into the injured area. Once in splenic parenchyma, amoeba causes proteolytic destruction and abscess formation. Hence, it is important for pathologists to be aware of this histomorphologic appearance and diagnostic pitfalls when evaluating as its easily curable with the use of metronidazole. Peculiarity: Primary amoebic splenic abscess with colourless thickened pus showing E.coli positivity