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An unusual paratyphoid fever
R Biswas1, A Bhardwaj, R Aggrawal
1Department of Medicine, Manipal College of Medical Sciences--Teaching Hospital, Phulbari--Pokhara, Nepal.
The Journal of the Association of Physicians of India
|January 5, 2002
Summary
Salmonella typhi can cause gallbladder issues. This case documents a subphrenic abscess and gallbladder perforation potentially linked to Salmonella paratyphi A infection.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- * Salmonella typhi is a known pathogen associated with gastrointestinal and systemic infections.
- * Acalculous cholecystitis and gallbladder perforation are severe complications that can arise from Salmonella infections.
- * Early recognition and management are crucial for favorable patient outcomes.
Observation:
- * This report details a case of a patient presenting with a subphrenic abscess.
- * The patient also exhibited signs of gallbladder perforation.
- * The clinical presentation suggested a potential link to Salmonella paratyphi A.
Findings:
- * The case highlights a rare presentation of subphrenic abscess and gallbladder perforation.
- * The etiology was investigated, with Salmonella paratyphi A identified as a probable causative agent.
- * This underscores the diverse and severe manifestations of Salmonella infections.
Implications:
- * This case expands the understanding of Salmonella paratyphi A's pathogenic potential.
- * It emphasizes the importance of considering Salmonella in the differential diagnosis of abdominal abscesses and gallbladder complications.
- * Clinicians should maintain a high index of suspicion for invasive Salmonella infections in relevant clinical scenarios.