Open AccessA Splenic Abscess which was Caused by Salmonella Typhi in a Non Sickler Patient: A Rare Case Finding
Author(s) -
Nutan Narayan Bhongle
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/4563.2816
Subject(s) - typhoid fever , medicine , salmonella typhi , widal test , abdomen , abscess , complication , blood culture , surgery , salmonella , abdominal pain , antibiotics , gastroenterology , virology , microbiology and biotechnology , bacteria , biochemistry , chemistry , genetics , escherichia coli , biology , gene
A splenic abscess which is caused by Salmonella typhi is a very rare complication of typhoid fever. We are reporting a case of a 14 year old female who presented with fever and pain in the abdomen. She was treated for fever of unknown origin in a rural hospital and was then admitted to our hospital after 15 days . She complained of fever and pain in the abdomen. On ultrasound, multiple splenic abscesses were seen. A USG guided aspiration was done and the aspirated material was received for culture, which was found to be positive for Salmonella typhi. A blood and stool culture which were done were negative and the Widal test showed a positive result with titres of TO 1:320 and TH 1:320. No predisposing factor was found in our case. Sickling was negative and HIV and HBsAg screening showed negative results. She responded favourably to the antibiotics which were given as per our antibiotic sensitivity report.