Objective: We report a case of Streptococcus intermedius splenic abscess and review of relevant literature. Design: A retrospective report and review of the English literature concerning splenic abscess cause by Streptococcus intermedius via PubMed was conducted. Results: An 8-year-old boy, who presented with fever, abdominal pain, and vomiting, was found to have a large splenic fluid collection. He underwent ultrasound-guided aspiration of the abscess, and the culture grew Streptococcus

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... dius. His symptoms and radiographic findings resolved after completion of antibiotics. Isolated splenic abscesses are rare, and this represents the second case in the literature of splenic abscess caused by Streptococcus intermedius. Conclusion: Streptococcus intermedius is a rare cause of splenic abscess. Isolated splenic abscess requires drainage for both diagnostic and therapeutic purposes.