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Appendicitis in non-typhoidal salmonella bacteraemia
Siow Yun Wong1, Samuel Kang Lian Lee1, Chaozer Er2
1Ministry of Health Holdings, Singapore.
Oxford Medical Case Reports
|October 27, 2018
Summary
Salmonella bacteraemia can rarely lead to acute appendicitis, even in elderly patients. This case highlights the importance of considering appendicitis in Salmonella infections, particularly when bacteraemia is present.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Complications
Background:
- Salmonella typhi and paratyphi infections are known to cause abdominal complications like intestinal perforations and appendicitis.
- Non-typhoidal Salmonella typically causes self-limiting gastroenteritis, with appendicitis being an infrequent association.
Observation:
- A case of a 78-year-old gentleman with Salmonella bacteraemia is presented.
- The patient developed acute appendicitis as a complication of the bacteraemia.
- Conservative management was chosen due to the patient's multiple comorbidities.
Findings:
- The patient's condition improved after a 2-week course of antibiotics.
- Antibiotic selection was guided by blood and stool culture results.
- Appendicitis is a rare but significant complication to consider in cases of Salmonella bacteraemia.
Implications:
- This case underscores the need to consider appendicitis in the differential diagnosis of abdominal pain in patients with Salmonella bacteraemia.
- Further research is warranted to elucidate the clinical course and management of Salmonella-related appendicitis.
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