Indian Association of Surgical Gastroenterology, XXI National Conference of Indian Association of Surgical Gastroenterology

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Sandeep Sabnis, Ranjit Vijayhari, Aravind K S, Srinivasan Ramchandran, Vikam Kate

Last modified: 2011-09-05




Enteric fever is a major public health problem, especially in tropical and developing countries. Unusual presentations of Salmonellosis are rare. We report one such case of young adult male with enteric fever causing splenic infarction.

  Case Review:


 A 23-year-old young adult was admitted with fever with chills, abdominal pain and loose stools of two weeks duration. Had low total counts with hypotension. CT showed 9x 8 cm hypodense lesion in upper pole of spleen suggestive of infarction and left lower lung consolidation with plural effusion.  Patient was in sepsis and was referred to SGE department for splenectomy. Result of the Widal test reveled Salmonella typhi infection (H 1:640). He was treated successfully with conservative management with ceftriaxone & inotropes. On follow up, patient became asymptomatic with resolution of lesion.   Conclusion:


Enteric fever should also be considered in differential diagnosis of patients with splenic infarctions especially in tropical countries. These cases respond favorably to conservative treatment with intravenous broad-spectrum antibiotics without the need for splenectomy.  

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