Splenic Abscess Caused by Salmonella Typhi: an Uncommon Presentation
| Autor: | Vijaya Lakshmi Nag, Pawan Kumar Garg, Taruna Yadav, Navneet Kaur, Sunita Suman, Vaibhav Kumar Varshney, Sarika P Kombade |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty Microbiological culture Percutaneous medicine.drug_class business.industry 030106 microbiology Antibiotics General Medicine bacterial infections and mycoses Salmonella typhi medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Infectious Diseases medicine.anatomical_structure medicine Abdomen 030212 general & internal medicine Presentation (obstetrics) business Complication Abscess |
| Zdroj: | Japanese Journal of Infectious Diseases. 74:166-168 |
| ISSN: | 1884-2836 1344-6304 |
| DOI: | 10.7883/yoken.jjid.2020.518 |
| Popis: | Splenic abscess is an uncommon extra-intestinal complication of Salmonella Typhi infection in the post-antibiotic era. The condition is associated with high morbidity and mortality if not diagnosed in a timely manner. We report the case of a 20-year-old man who presented with left upper abdominal pain, high-grade fever, and a lump in the abdomen. Ultrasound and computed tomography scan of the abdomen revealed a large solitary splenic abscess. The abscess was drained percutaneously and Salmonella Typhi was isolated on a culture board, which was an unexpected finding. The patient was prescribed the appropriate antibiotics based on an antimicrobial susceptibility report and periodic follow-up was planned. The clinical condition of the patient improved along with complete resolution of the abscess. This report reiterates the importance of clinical diagnosis and radiological imaging even for common diseases presenting in an unusual fashion. Percutaneous drainage and microbial culture, with antibiotics prescribed based on susceptibility are key to the treatment of such abscesses. |
| Databáze: | OpenAIRE |
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