| Popis: |
Enteric fever involves reticuloendothelial system. Most common complications are intestinal perforation, hepatitis, encephalopathy and bleeding ileal ulcers. Apart from known complications we present an interesting case of middle aged female with uncontrolled diabetes presenting with empyema of gall bladder secondary to Salmonella typhi. Both blood and gallbladder tissue bacteriological cultures had Salmonella typhi confirming our diagnosis. It was noteworthy that empyema was found intraoperatively. Patient recovered after cholecystectomy and antibiotics. Considering this rare complication we advise Typhoid conjugate vaccine in tropical countries. This case report paves way to recognize this complication to watch for. Key words: Enteric fever, Empyema, complications, Typhoid vaccine, gall bladder. |
