Splenic abscess is rarely encountered nowadays and the most common predisposing factor is bacteremia. Classically, endocarditis is seen to be associated with splenic abscess but any cause of bacteremia, ranging from enteric fever, to intravenous line infection, to urinary tract infection, may result in splenic abscess. Since, urinary tract infection (UTI) is common in females and bacteremia complicating this infection is frequently seen. Here, we present a case of septic shock secondary to emphysematous splenic abscess caused by Escherichia coli (E. coli) bacteremia complicating urinary tract infection (UTI). It was presented in emergency department with complaint of abdominal pain associated with fever and vomiting, which was diagnosed with the help of ultrasound and computed tomography (CT) scan of abdomen and managed with intravenous antibiotic and splenectomy was performed.
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