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Samonella typhi infection-related appendicitis: A case report
Bo-Hao Zheng1, Wei-Ming Hao2, Hung-Chen Lin2
1Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
World Journal of Clinical Cases
|November 4, 2021
Summary
Salmonella typhi infection is a rare cause of acute appendicitis. This case highlights a patient with appendicitis, spleen, and kidney infarction due to Salmonella typhi.
Area of Science:
- Medical Microbiology
- Surgical Pathology
Background:
- Acute appendicitis is a frequent surgical emergency globally, often linked to infections.
- Infection by Salmonella typhi, an enteric pathogen, is an uncommon etiology for acute appendicitis.
Observation:
- A 25-year-old male presented with symptoms suggestive of acute appendicitis, including fever, vomiting, and abdominal pain.
- Initial diagnosis was acute appendicitis, treated with laparoscopic appendectomy.
- Post-operative complications included high fever and diarrhea, with CT angiography revealing spleen and kidney infarction.
Findings:
- Blood cultures confirmed Salmonella typhi infection as the underlying cause.
- The patient's symptoms resolved with intravenous levofloxacin treatment.
Implications:
- This case underscores Salmonella typhi as a rare but serious cause of acute appendicitis.
- Concurrent splenic and renal infarction in this context highlights the systemic potential of Salmonella typhi infection.
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