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Chronic Salmonella Infection Induced Intestinal Fibrosis
08:40

Chronic Salmonella Infection Induced Intestinal Fibrosis

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Acute abdomen caused by Salmonella typhimurium infection in children

I S Arda1, F Ergin, B Varan

  • 1Department of Pediatric Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.

Journal of Pediatric Surgery
|December 6, 2001
PubMed

Insights

Salmonella typhimurium infections can cause acute abdominal issues, sometimes requiring surgery. Early diagnosis is crucial to avoid unnecessary operations for conditions mimicking appendicitis or intestinal obstruction.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Gastroenterology

Background:

  • Salmonella spp. infections can present as acute abdominal conditions, necessitating emergency surgery.
  • Complications include intestinal perforation, gallbladder involvement, salpingitis, and peritonitis.
  • Mesenteric lymphadenitis from Salmonella typhimurium can mimic appendicitis, complicating diagnosis in children.

Observation:

  • Two pediatric cases highlight surgical challenges posed by Salmonella infections.
  • One patient presented with appendicitis-like symptoms due to inflamed mesenteric lymph nodes.
  • The other experienced intestinal obstruction from dense mesenteric adhesions.

Findings:

  • Both patients showed elevated "B and O agglutinating" (BO) antibody titers to 1:640, indicative of Salmonella typhimurium infection.
  • Inflamed mesenteric lymph nodes mimicked appendicitis in one case.
  • Ileal adhesions caused complete intestinal obstruction in the second case.

Implications:

  • Salmonella infections can lead to rare but severe surgical emergencies in children.
  • Accurate diagnosis is vital to prevent unnecessary surgical interventions.
  • Understanding these presentations improves management of pediatric Salmonella cases.

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