Splenic infarction secondary to COVID-19 complicated by Clostridium Paraputrificum infection

A 58-year-old woman with COVID-19 presented with an acute abdomen. Her spleen was found to be infarcted with a large fluid and gas collection. Treatment included broad-spectrum antibiotics and CT-guided drainage. Definitive treatment was splenectomy. We postulate that COVID-19 related splenic infarction created ideal conditions for Clostridium paraputrificum to cause a splenic abscess. (C) 2021 The Authors. Published by Elsevier Ltd.