Splenic cyst and its management in a 21-month-old boy: a rare complication of invasive meningococcal disease

Splenic complications of invasive meningococcal disease (IMD) are well recognised, though cyst formation is rare, particularly in paediatric populations. The best approach to their management is not yet established. This case outlines the management of a splenic cyst in a 21-month-old boy following...

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Bibliographic Details
Published in:BMJ case reports 2018-05, Vol.2018, p.bcr-2018-224613
Main Authors: Pratt, Jeremy John, Connell, Tom G, Bekhit, Elhamy, Crawford, Nigel W
Format: Article
Language:English
Subjects:
Amputation
Anti-Bacterial Agents - therapeutic use
Antibiotics
Case reports
Congenital diseases
Cysts
Cysts - complications
Cysts - diagnosis
Cysts - diagnostic imaging
Cysts - therapy
Diagnosis, Differential
Disease
Drainage
Gangrene
Hematology
Hospitals
Humans
Illnesses
Immunization
Immunology
Infant
Laparoscopy
Male
Meningococcal Infections - complications
Meningococcal Infections - diagnosis
Meningococcal Infections - diagnostic imaging
Meningococcal Infections - therapy
Neisseria meningitidis - isolation & purification
Pediatrics
Sepsis
Severity of Illness Index
Spleen
Splenic Diseases - complications
Splenic Diseases - diagnosis
Splenic Diseases - diagnostic imaging
Splenic Diseases - therapy
Surgery
Teams
Ultrasonic imaging
Unusual Presentation of More Common Disease/Injury
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Summary:Splenic complications of invasive meningococcal disease (IMD) are well recognised, though cyst formation is rare, particularly in paediatric populations. The best approach to their management is not yet established. This case outlines the management of a splenic cyst in a 21-month-old boy following severe IMD. The case took place in the context of an acute emergence of serogroup W prompting significant media attention and subsequent change in vaccination practice at a jurisdictional level in Australia. The patient was critically unwell early in the illness, then later a collection in the left upper quadrant was detected, shown on ultrasound to be a 11.6×7.7 cm splenic cyst. In this case, the cyst was managed by ultrasound-guided drainage tube insertion. The residual collection was small and stable on subsequent imaging.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-224613