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Blood Clots Per Rectum in a Pediatric Patient With Salmonella Enteritis: A Case Report
Puja Shah1, Arnikka Rubia1, Nimrah Iqbal1
1Pediatrics, Brookdale University Hospital Medical Center, New York, USA.
Insights
A pediatric case report details a seven-year-old boy experiencing severe abdominal pain, vomiting, and bloody stools. The study highlights the rare passage of blood clots per rectum due to Salmonella enterocolitis.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Hematochezia is common in children, often due to infection.
- Frank blood clots per rectum are an unusual presentation in pediatric patients.
Observation:
- A seven-year-old male presented with vomiting, severe abdominal pain, and passage of blood clots per rectum.
- Initial investigations considered non-infectious etiologies but were ruled out.
Findings:
- Stool polymerase chain reaction (PCR) confirmed Salmonella species infection.
- Stool culture did not identify any enteropathogens, despite clinical presentation.
Implications:
- This case underscores Salmonella enterocolitis as a rare cause of rectal blood clots in children.
- Highlights the importance of considering infectious causes even with unusual presentations.
Abstract:
Infection is a common cause of hematochezia in children. While infectious diarrhea can present with bloody stools, it is rare to have the passage of frank blood clots per rectum in the pediatric population. This is a case of a seven-year-old male who presented with vomiting, diarrhea, severe abdominal pain, and passage of blood clots per rectum. As symptoms progressed, consideration of non-infectious causes was investigated and subsequently ruled out. The stool polymerase chain reaction (PCR) was positive for Salmonella species, while stool culture was negative for any enteropathogen. This report highlights the unusual occurrence of the passage of blood clots per rectum in a child with salmonella enterocolitis.
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