Splenic Infarction: An Unusual Complication of Salmonella Infection

Splenic infarction is an uncommon diagnosis, often overlooked due to its non-specific clinical presentation. While a splenic abscess is common, infarction due to infective processes is rare. Among infections, Salmonella is infrequently implicated, and splenic infarct secondary to typhoid or paratyphoid fever is exceptionally rare. We report the case of a young adult man who presented with acute fever and pain in the abdomen and was subsequently diagnosed with splenic infarction. A meticulous diagnostic workup excluded common causes such as infective endocarditis, hematological malignancies, hypercoagulable states, and sickle cell disorder, ultimately identifying non-lactose fermenting colonies positive for Salmonella paratyphi A as the etiology. Recognition of such atypical abdominal complications of typhoid is essential in endemic areas to prevent missed diagnosis and optimize management.