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Acute acalculous cholecystitis caused by Salmonella typhi in a 6-year-old child
1Department of Pediatric Surgery, Soroka Medical Center, Beer Sheva, Israel.
Insights
A rare case of acute acalculous cholecystitis caused by Salmonella typhi in a child is detailed. Prompt treatment with cholecystostomy and ceftriaxone led to a successful recovery.
Area of Science:
- Pediatric Infectious Diseases
- Gastrointestinal Surgery
Background:
- Acute acalculous cholecystitis is uncommon in children.
- Salmonella typhi is a rare cause of cholecystitis.
Observation:
- A 6-year-old girl presented with fulminant symptoms suggestive of diffuse peritonitis.
- The patient was diagnosed with acute acalculous cholecystitis attributed to Salmonella typhi.
Findings:
- Cholecystostomy and intravenous ceftriaxone administration were effective treatments.
- The patient recovered and was discharged in under two weeks.
Implications:
- This case highlights Salmonella typhi as a potential cause of severe pediatric cholecystitis.
- Early surgical intervention and antibiotic therapy are crucial for favorable outcomes.
Abstract:
A rare case of acute acalculous cholecystitis caused by Salmonella typhi in a 6-year-old child is presented. The clinical signs were fulminant, with diffuse peritonitis being suspected. Cholecystostomy and i.v. ceftriaxone proved efficacious and the girl was discharged in less than two weeks. The appropriate literature is reviewed.