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The Vanishing Infarct: A Rare Presentation of MERS Due to Salmonella Infection in Middle-Aged Patient

Parth Lakhpatia1, Vaishnavi Revankar1, Suchitra Kelkar2

  • 1Senior Residents, Department of Medicine, Bethany Hospital, Thane, Maharashtra, India.

The Journal of the Association of Physicians of India
|December 15, 2024
PubMed

Insights

Enteric fever, caused by Salmonella, can present unusually. This case showed reversible splenium infarcts, resolving with standard antibiotics.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Enteric fever, caused by Salmonella Typhi and Salmonella Paratyphi A and B, is a systemic infection.
  • Clinical presentations of enteric fever are diverse, often involving gastrointestinal and systemic symptoms.
  • Neurological complications of enteric fever are rare but documented.

Observation:

  • A middle-aged male presented with Salmonella infection.
  • The patient developed infarcts in the splenium of the corpus callosum, an atypical manifestation.
  • The infarcts were identified as reversible.

Findings:

  • Salmonella infection was confirmed as the causative agent.
  • Splenium of the corpus callosum infarcts were observed as an unusual neurological complication.
  • The neurological deficits associated with the infarcts showed complete resolution.

Implications:

  • This case highlights the potential for unusual neurological presentations in enteric fever.
  • Early diagnosis and appropriate antibiotic treatment are crucial for managing these complications.
  • The reversibility of splenium infarcts with standard enteric fever antibiotics suggests a direct link and favorable prognosis.

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