Related Experiment Videos
Splenic abscesses in typhoid fever: US and CT studies
Journal of Computer Assisted Tomography
|January 1, 1993
Summary
Salmonella typhi splenic abscesses are an underestimated complication of typhoid fever. This study found a higher incidence of splenic abscesses in typhoid fever patients than previously reported.
Area of Science:
- Infectious Diseases
- Radiology
- Gastroenterology
Background:
- Splenic abscesses (SA) are a rare complication of typhoid fever (TF).
- Traditional views underestimate the incidence of SA in TF patients.
Purpose of the Study:
- To determine the actual incidence of Salmonella typhi splenic abscesses in typhoid fever patients.
- To investigate if SA is an underestimated complication of TF.
Main Methods:
- Prospective study of 400 patients with proven typhoid fever.
- Systematic abdominal ultrasound (US) examination during the second week of admission.
- Follow-up US and CT scans for patients with persistent/recurrent symptoms or thoracic pain.
Main Results:
- Eight out of twenty patients evaluated with US and CT showed anomalies compatible with SA.
- Findings suggest a higher incidence of SA than traditionally reported.
Conclusions:
- Salmonella typhi splenic abscesses may be more common than previously thought.
- Early and systematic imaging is crucial for diagnosing SA in TF patients.