Splenic infarcts

Case contributed by Dr Chris O'Donnell

Presentation

10 days of fever and rigors. Recent left upper quadrant pain.

Patient Data

Age: 50 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
CT

Marked splenomegaly and multiple splenic infarcts (i.e. wedge-shaped peripheral areas of non-enhancement). Seems to be due to an infective process given the clinical features of sepsis. Must always consider bacterial endocarditis with embolization of vegetations.

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