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Septic shock due to Granulicatella adiacens after endoscopic ultrasound-guided biopsy of a splenic mass:A case report

查看全文 作　　者：Seo-Yeon [1]Cho;Eunae [1]Cho;Chang-Hwan [1]Park;Hee-Joon [2]Kim;Joo-Yeon [3]Koo 高影响力作者 机构地区：[1]Division of Gastroenterology,Department of Internal Medicine,Chonnam National University Hospital,Gwangju 61469,South Korea;[2]Department of Surgery,Chonnam National University Hospital,Gwangju 61469,South Korea;[3]Department of Pathology,Chonnam National University Hospital,Gwangju 61469,South Korea高影响力机构 出　　处：《World Journal of Gastroenterology》索引2021年第27卷第8期,共9页高影响力期刊 摘　　要：BACKGROUND Endoscopic ultrasound-guided fine needle aspiration or biopsy(EUS-FNA or FNB)has become a popular method for diagnosing various lesions of the gastrointestinal tract and surrounding tissue due to the accuracy and safety.To the best of our knowledge,no case report of severe infection after EUS-FNB of a solid lesion in the spleen has been described.Herein,we report a rare case of septic shock after EUS-FNB of a splenic mass.CASE SUMMARY A 45-year-old male patient presented to the outpatient clinic due to an incidentally detected splenic mass.A definitive diagnosis could not be established based on the abdominal magnetic resonance imaging.EUS of the spleen showed a 6 cm-sized,relatively well-demarcated,heterogeneous mass,and EUS-FNB with a 22G needle was performed.Ten days after the procedure patient developed septic shock and a splenic abscess was identified.Blood culture revealed growth of Granulicatella adiacens.After the treatment with antibiotics the patient underwent surgical resection,and the pathological examination showed diffuse large B-cell lymphoma.The patient received chemotherapy and he is in complete remission.CONCLUSION Infection of a splenic mass after EUS-FNB is a rare complication and prophylactic antibiotics might be considered. 关 键 词：Endoscopic ultrasound Endoscopic ultrasound-guided fine needle biopsy Splenic neoplasms LYMPHOMA Septic shock Case report
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