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A case of typhoid Fever with hepatic granulomas and enteritis

Shraddha Narechania1, Marc Duran2, Vidhya Karivedu1

  • 1Fairview Hospital, Cleveland, OH 44111, USA.

Case Reports in Pathology
|February 21, 2015
PubMed

Insights

Hepatic granulomas are rare in Salmonella infections. This case report details a Salmonella enteritis patient whose liver masses were diagnosed as hepatic granulomas, emphasizing Salmonella typhi as a differential diagnosis.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Pathology

Background:

  • Common Salmonella infections cause liver issues like steatosis and cloudy swelling.
  • Hepatic granulomas are exceptionally rare findings in Salmonella infections, with few documented cases.

Purpose of the Study:

  • To report a rare case of hepatic granulomas in a patient with Salmonella enteritis.
  • To underscore the importance of considering Salmonella typhi in the differential diagnosis of hepatic granulomas.

Main Methods:

  • A case study of a 64-year-old patient with Salmonella enteritis.
  • Abdominal ultrasound revealed multiple hypoechoic liver masses.
  • Liver biopsy confirmed the presence of hepatic granulomas.

Main Results:

  • The patient presented with Salmonella enteritis.
  • Ultrasound identified multiple liver masses (1.4-1.6 cm).
  • Biopsy confirmed these masses were hepatic granulomas.

Conclusions:

  • This case highlights a rare manifestation of Salmonella infection.
  • Salmonella typhi should be considered in the differential diagnosis for patients presenting with hepatic granulomas.

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