[Splenic abscesses. A case report and review of the literature]. / Abscesos esplénicos. Informe de un caso y revisión de la literatura.

This is a report of a case of a 3-year-old boy who developed splenic abscesses after a mild plantar wound. His initial complains were fever and several distal cutaneous abscesses (septic emboli). Multiple cultures for bacteria, fungi, mycobacterium and anaerobes were performed, but all were negative. In spite of an energetic antimicrobial treatment, he continued with high fever. Echocardiography was normal. Two weeks later, a thoracic radiography showed the left hemidiafragm was elevated and a small pleural effusion. An abdominal echosonography showed multiple hypoechoic splenic lesions, and this finding was confirmed by magnetic resonance imaging. After splenectomy, the patient healed and was discharged. Anatomopathological examination of the spleen showed eight pyogenic abscesses of different size. The causal agent was not isolated.

[Adrenoleukodystrophy. Diagnosis of a typical case using magnetic resonance]. / Adrenoleucodistrofia. Diagnóstico de un caso típico por resonancia magnética.

A case of a two and a half year old boy with unexplained repeated episodes of hyponatremic dehydration and hyperkalemia, as well as noticeable psychomotor retardation and hyperpigmentation is presented. His neurologic development was considered normal until he was two, when he progressively began to regress. Magnetic resonance imaging of the brain showed white matter demyelination and cortical atrophy as well as primary adrenal insufficiency when stimulated with ACTH. Both magnetic resonance imaging and the ACTH stimulation test are useful for the diagnosis of adrenoleukodystrophy. Adrenoleukodystrophy; hyponatremic dehydration; cutaneous hyperpigmentation; white matter degenerative disease; magnetic resonance imaging.