Generic placeholder image

New Emirates Medical Journal

Editor-in-Chief
ISSN (Online): 0250-6882

Case Report

A Rare Case of Enteric Fever with Multiple Splenic Abscesses: Case Report

Author(s): Ajith Cherian Thomas, Hazem Elsayed Hussein, Vaishnavi Bose*, Sana Junaid and Nadeem Javed Younas

Volume 3, Issue 2, 2022

Published on: 25 October, 2022

Article ID: e251022210363 Pages: 3

DOI: 10.2174/04666221025143641

Price: $0

Abstract

Background: Enteric fever is a common infection found in many developing countries around the world, which often has life-threatening complications if not treated promptly. One of the rarest complications of enteric fever is a splenic abscess.

Case Presentation: Our case is that of a 32-year-old male, admitted with febrile illness, diagnosed with typhoid fever (enteric fever) with rare complication- multiple splenic abscesses, after his travel to an endemic area, which was effectively treated with antibiotics under an inpatient setting.

Conclusion: Early diagnosis with imaging modalities such as computed tomography can lead to better treatment approaches. Splenic abscesses are often treated with antibiotics or conservative treatment; however, non-responsive cases may require splenectomy.

[1]
Handa A, Rajnikanth T, Bhartiya M, Sharma PK, Negi RS. Typhoid splenic abscess : A rarity in the present era. Srilankan J Infect Dis 2015; 5(2): 96-9.
[http://dx.doi.org/10.4038/sljid.v5i2.8089]
[2]
Vagholkar K, Mirani J, Jain U, Iyengar M, Chavan RK. Abdominal complications of typhoid fever. J Surg 2015; 10(4): 227-8.
[3]
Mansoor H, Ahmed K, Fida S, Uzair M, Asghar A, Iqbal J. Gastrointestinal and hepatobiliary complications of extensively drug-resistant typhoid at a tertiary care hospital in Pakistan. Cureus 2020; 12(10): e11055.
[http://dx.doi.org/10.7759/cureus.11055] [PMID: 33224651]
[4]
George P, Ahmed A, Maroli R, Tauro LF. Peritonitis secondary to ruptured splenic abscess: A grave complication of typhoid fever. Asian Pac J Trop Med 2012; 5(12): 1004-6.
[http://dx.doi.org/10.1016/S1995-7645(12)60191-6] [PMID: 23199723]
[5]
Shamanna P, Ravindran J, Sethumadhavan M. Salmonella typhi causing splenic abscess - A rare case. J Lab Med 2017; 6(1): e87136.
[6]
Dutta M, Chatterjee S. An uncommon twist to a common event – Isolated enteric splenic infarcts and abscesses. East J Med 2020; 5(1): 22-4.
[http://dx.doi.org/10.32677/EJMS.2020.v05.i01.007]
[7]
Bhongle NN, Nagdeo NV, Thombare VR. A splenic abscess which was caused by Salmonella typhi in a non sickler patient: A rare case finding. J Clin Diagn Res 2013; 7(3): 537-8.
[http://dx.doi.org/10.7860/JCDR/2013/4563.2816] [PMID: 23634415]
[8]
Jha V, Vidhale T. Multiple splenic abscesses in a case of enteric fever: Salvaging spleen through pigtail drainage and antibiotics is a good alternative approach. Indian J Crit Care Med 2018; 22(12): 886-8.
[http://dx.doi.org/10.4103/ijccm.IJCCM_405_18] [PMID: 30662231]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy