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Splenic Abscess Caused by Salmonella Typhi: an Uncommon Presentation
Navneet Kaur1, Vaibhav Kumar Varshney2, Sarika Prabhakar Kombade1
1Department of Microbiology, All India Institute of Medical Sciences, India.
Japanese Journal of Infectious Diseases
|September 1, 2020
Summary
A rare splenic abscess caused by Salmonella Typhi infection was successfully treated. This case highlights the importance of prompt diagnosis and percutaneous drainage for this serious complication.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Radiology
Background:
- Splenic abscess is a rare extra-intestinal complication of Salmonella Typhi infection.
- It carries significant morbidity and mortality if diagnosis is delayed.
Observation:
- A 20-year-old male presented with left upper abdominal pain, fever, and an abdominal mass.
- Abdominal ultrasound and CT revealed a large solitary splenic abscess.
- Salmonella Typhi was unexpectedly isolated from the abscess culture.
Findings:
- Percutaneous drainage of the splenic abscess was performed.
- Antibiotic therapy was guided by antimicrobial susceptibility testing.
- The patient experienced clinical improvement and complete abscess resolution.
Implications:
- This case underscores the significance of considering uncommon presentations of common diseases.
- Effective management involves a combination of radiological imaging, percutaneous drainage, microbial culture, and targeted antibiotic therapy.
- Early and accurate diagnosis is vital for favorable outcomes in splenic abscess cases.
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