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Related Experiment Videos

Hepatic abscess complicating paratyphoid infection.

A Rajagopal1, R Ramasamy, G Mahendran

  • 1Department of Surgery, PSG Institute of Medical Sciences and Research, Coimbatore-641 004, India. ambil@mailcity.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|July 2, 2003
PubMed
Summary

Salmonella paratyphi A rarely causes liver abscesses, as seen in a healthy 28-year-old male. Successful treatment involved abscess drainage and antibiotics.

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Area of Science:

  • Infectious Diseases
  • Hepatology
  • Microbiology

Background:

  • Salmonellosis is a global health issue.
  • Liver abscesses are a rare complication of Salmonella typhi and even rarer for Salmonella paratyphi.
  • Prompt diagnosis and treatment are crucial for managing Salmonella infections.

Observation:

  • A 28-year-old male presented with fever, abdominal pain, and hepatomegaly.
  • Imaging revealed multiple liver abscesses.
  • Ultrasound-guided aspiration identified Salmonella paratyphi A as the causative agent.

Findings:

  • Salmonella paratyphi A can cause multiple liver abscesses in immunocompetent individuals.
  • Percutaneous drainage of abscesses combined with antibiotic therapy is an effective treatment strategy.

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  • This case highlights a rare presentation of Salmonella paratyphi A infection.

    • Implications:

    • Clinicians should consider Salmonella paratyphi A in the differential diagnosis of liver abscesses, even in patients without prior medical history.
    • Early recognition and intervention, including drainage and targeted antibiotics, can lead to favorable outcomes.
    • This case contributes to the understanding of the clinical spectrum of Salmonella paratyphi A infections.