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Fatal Colonic Perforation Secondary to Non-typhoidal Salmonella Infection in an Immunocompetent Elderly Patient
Muhammad Zulfadhli Nor Azmi1, Ummi Nadira Daut1
1Department of Internal Medicine, Universiti Putra Malaysia, Selangor, MYS.
Abstract:
Salmonella is one of the leading foodborne pathogens worldwide. Their serotypes can be classified into typhoidal, which are known to cause enteric fever, and non-typhoidal, commonly known to cause gastroenteritis or food poisoning. Salmonella gastroenteritis is typically self-limiting, and most patients recover within a few days to a week without treatment. Intestinal perforation is an exceptionally rare and fatal complication. Here, we report a case of Salmonella gastroenteritis complicated by colonic perforation. Postoperatively, the patient succumbed due to multiorgan failure and intra-abdominal sepsis. This case highlights that even non-typhoidal Salmonella infection in an immunocompetent host may lead to catastrophic complications. Early recognition of clinical deterioration and timely surgical intervention are crucial to improve outcomes.
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