{"id":"https://openalex.org/W7159782832","doi":"https://doi.org/10.71152/ajms.v17i5.5250","title":"Rare bugs in the new millennium: Splenic abscess and iliopsoas abscess \u2013 Case series","display_name":"Rare bugs in the new millennium: Splenic abscess and iliopsoas abscess \u2013 Case series","publication_year":2026,"publication_date":"2026-04-30","ids":{"openalex":"https://openalex.org/W7159782832","doi":"https://doi.org/10.71152/ajms.v17i5.5250"},"language":"en","primary_location":{"id":"doi:10.71152/ajms.v17i5.5250","doi":"https://doi.org/10.71152/ajms.v17i5.5250","is_oa":true,"landing_page_url":"https://doi.org/10.71152/ajms.v17i5.5250","pdf_url":"https://ajmsjournal.info/index.php/AJMS/article/download/5250/4125","source":{"id":"https://openalex.org/S180817373","display_name":"Asian Journal of Medical Sciences","issn_l":"2091-0576","issn":["2091-0576","2467-9100"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2","norway-1"],"host_organization":"https://openalex.org/P4310319241","host_organization_name":"Progressive Sustainable Developers Nepal","host_organization_lineage":["https://openalex.org/P4310319241"],"host_organization_lineage_names":["Progressive Sustainable Developers Nepal"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Medical Sciences","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://ajmsjournal.info/index.php/AJMS/article/download/5250/4125","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5095964164","display_name":"Ramani Cp","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801220108","display_name":"Government General Hospital","ror":"https://ror.org/05qkf9y72","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801220108"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ramani CP","raw_affiliation_strings":["Professor, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I2801220108"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135034677","display_name":"Sujatha K","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801220108","display_name":"Government General Hospital","ror":"https://ror.org/05qkf9y72","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801220108"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sujatha K","raw_affiliation_strings":["Assistant Professor, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I2801220108"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135056015","display_name":"Pavya R","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801220108","display_name":"Government General Hospital","ror":"https://ror.org/05qkf9y72","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801220108"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pavya R","raw_affiliation_strings":["Post Graduate Resident, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Post Graduate Resident, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I2801220108"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135047812","display_name":"Monica Raj SP","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801220108","display_name":"Government General Hospital","ror":"https://ror.org/05qkf9y72","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801220108"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Monica Raj SP","raw_affiliation_strings":["Post Graduate Resident, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Post Graduate Resident, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I2801220108"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5135044787","display_name":"Adlin Tabitha M","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801220108","display_name":"Government General Hospital","ror":"https://ror.org/05qkf9y72","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2801220108"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Adlin Tabitha M","raw_affiliation_strings":["Post Graduate Resident, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Post Graduate Resident, Department of Microbiology, Institute of Microbiology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu, India","institution_ids":["https://openalex.org/I2801220108"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2801220108"],"apc_list":{"value":200,"currency":"USD","value_usd":200},"apc_paid":{"value":200,"currency":"USD","value_usd":200},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.31938358,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":"5","first_page":"182","last_page":"185"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.8877000212669373,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.8877000212669373,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.022099999710917473,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":0.016699999570846558,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/splenic-abscess","display_name":"splenic abscess","score":1.0},{"id":"https://openalex.org/keywords/iliopsoas-abscess","display_name":"iliopsoas abscess","score":1.0},{"id":"https://openalex.org/keywords/hematogenous-spread","display_name":"hematogenous spread","score":0.6240000128746033},{"id":"https://openalex.org/keywords/gram-positive-cocci","display_name":"Gram-positive cocci","score":0.7360000014305115},{"id":"https://openalex.org/keywords/gram-negative-bacilli","display_name":"Gram-negative bacilli","score":0.9909999966621399},{"id":"https://openalex.org/keywords/streptococcus","display_name":"Streptococcus","score":0.9070000052452087},{"id":"https://openalex.org/keywords/staphylococcus","display_name":"Staphylococcus","score":0.9240000247955322},{"id":"https://openalex.org/keywords/escherichia-coli","display_name":"Escherichia coli","score":0.9110000133514404},{"id":"https://openalex.org/keywords/klebsiella","display_name":"Klebsiella","score":0.9549999833106995},{"id":"https://openalex.org/keywords/proteus","display_name":"Proteus","score":0.8080000281333923},{"id":"https://openalex.org/keywords/pseudomonas","display_name":"Pseudomonas","score":0.9919999837875366},{"id":"https://openalex.org/keywords/salmonella","display_name":"Salmonella","score":0.9950000047683716},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.6909999847412109},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.7870000004768372}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8944000005722046},{"id":"https://openalex.org/C2779609173","wikidata":"https://www.wikidata.org/wiki/Q2083654","display_name":"Iliopsoas","level":2,"score":0.7123000025749207},{"id":"https://openalex.org/C2777035434","wikidata":"https://www.wikidata.org/wiki/Q164655","display_name":"Abscess","level":2,"score":0.7110000252723694},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.6532999873161316},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5652999877929688},{"id":"https://openalex.org/C2776619665","wikidata":"https://www.wikidata.org/wiki/Q9371","display_name":"Splenic disease","level":4,"score":0.5353000164031982},{"id":"https://openalex.org/C2993328841","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotic therapy","level":3,"score":0.4609000086784363},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.3720000088214874},{"id":"https://openalex.org/C3019760618","wikidata":"https://www.wikidata.org/wiki/Q5144815","display_name":"Splenic flexure","level":5,"score":0.33820000290870667},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.33660000562667847},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.3278999924659729},{"id":"https://openalex.org/C3018875020","wikidata":"https://www.wikidata.org/wiki/Q1441305","display_name":"Signs and symptoms","level":2,"score":0.32580000162124634},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.2883000075817108},{"id":"https://openalex.org/C2778594517","wikidata":"https://www.wikidata.org/wiki/Q2260058","display_name":"Chills","level":2,"score":0.28450000286102295},{"id":"https://openalex.org/C2781312948","wikidata":"https://www.wikidata.org/wiki/Q2312030","display_name":"Discitis","level":3,"score":0.2816999852657318},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.27900001406669617},{"id":"https://openalex.org/C2992897362","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Clinical history","level":2,"score":0.27390000224113464},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.26460000872612},{"id":"https://openalex.org/C2779443120","wikidata":"https://www.wikidata.org/wiki/Q650912","display_name":"Bacteremia","level":3,"score":0.25040000677108765}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.71152/ajms.v17i5.5250","doi":"https://doi.org/10.71152/ajms.v17i5.5250","is_oa":true,"landing_page_url":"https://doi.org/10.71152/ajms.v17i5.5250","pdf_url":"https://ajmsjournal.info/index.php/AJMS/article/download/5250/4125","source":{"id":"https://openalex.org/S180817373","display_name":"Asian Journal of Medical Sciences","issn_l":"2091-0576","issn":["2091-0576","2467-9100"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2","norway-1"],"host_organization":"https://openalex.org/P4310319241","host_organization_name":"Progressive Sustainable Developers Nepal","host_organization_lineage":["https://openalex.org/P4310319241"],"host_organization_lineage_names":["Progressive Sustainable Developers Nepal"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Medical Sciences","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:c763058214384555abffc7aa02d0e3f7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/c763058214384555abffc7aa02d0e3f7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Asian Journal of Medical Sciences, Vol 17, Iss 5, Pp 182-185 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.71152/ajms.v17i5.5250","doi":"https://doi.org/10.71152/ajms.v17i5.5250","is_oa":true,"landing_page_url":"https://doi.org/10.71152/ajms.v17i5.5250","pdf_url":"https://ajmsjournal.info/index.php/AJMS/article/download/5250/4125","source":{"id":"https://openalex.org/S180817373","display_name":"Asian Journal of Medical Sciences","issn_l":"2091-0576","issn":["2091-0576","2467-9100"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2","norway-1"],"host_organization":"https://openalex.org/P4310319241","host_organization_name":"Progressive Sustainable Developers Nepal","host_organization_lineage":["https://openalex.org/P4310319241"],"host_organization_lineage_names":["Progressive Sustainable Developers Nepal"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Journal of Medical Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8705992102622986}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7159782832.pdf","grobid_xml":"https://content.openalex.org/works/W7159782832.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Splenic":[0],"abscess":[1,86],"is":[2,51,127],"a":[3],"rare":[4],"but":[5],"serious":[6],"condition,":[7],"with":[8,56,94],"mortality":[9,27],"rates":[10],"reaching":[11],"nearly":[12],"half":[13],"of":[14,120],"affected":[15],"patients":[16],"and":[17,41,69,83,97,106,112],"approaching":[18],"100%":[19],"without":[20],"antibiotic":[21],"therapy.":[22],"Timely":[23],"management":[24],"can":[25],"reduce":[26],"to":[28,124],"below":[29],"10%.":[30],"Clinical":[31],"signs":[32],"are":[33],"often":[34],"non-specific,":[35],"making":[36],"diagnosis":[37],"challenging,":[38],"though":[39],"history":[40],"examination":[42],"may":[43],"raise":[44],"suspicion.":[45],"Hematogenous":[46],"spread":[47],"from":[48,89],"distant":[49],"infections":[50],"the":[52,108,121],"most":[53],"common":[54],"cause,":[55],"aerobes":[57],"frequently":[58],"implicated.":[59],"Typical":[60],"pathogens":[61],"include":[62],"Gram-positive":[63],"cocci":[64],"such":[65,76,104],"as":[66,71,73,77],"Streptococcus,":[67],"Staphylococcus,":[68],"Enterococcus,":[70],"well":[72],"Gram-negative":[74],"bacilli":[75],"Escherichia":[78],"coli,":[79],"Klebsiella,":[80],"Proteus,":[81],"Pseudomonas,":[82],"Salmonella.":[84],"Iliopsoas":[85],"rarely":[87],"arises":[88],"contiguous":[90],"or":[91],"hematogenous":[92],"infection,":[93],"variable":[95],"presentation":[96],"notable":[98],"relapse":[99],"risk.":[100],"We":[101],"report":[102],"3":[103],"cases":[105,126],"all":[107],"patient":[109],"recovered":[110],"clinically":[111],"better":[113],"outcome":[114],"was":[115],"noted.":[116],"A":[117],"brief":[118],"review":[119],"literature":[122],"pertaining":[123],"these":[125],"also":[128],"studied.":[129]},"counts_by_year":[],"updated_date":"2026-09-30T09:27:27.532063","created_date":"2026-05-03T00:00:00"}