Splenic Abscess Caused by Salmonella Typhi : an Uncommon Presentation

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  • Kaur Navneet
    Department of Microbiology, All India Institute of Medical Sciences, India
  • Varshney Vaibhav Kumar
    Department of Surgical Gastroenterology, All India Institute of Medical Sciences, India
  • Kombade Sarika Prabhakar
    Department of Microbiology, All India Institute of Medical Sciences, India
  • Yadav Taruna
    Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, India
  • Suman Sunita
    Department of Surgical Gastroenterology, All India Institute of Medical Sciences, India
  • Garg Pawan Kumar
    Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, India
  • Nag Vijaya Lakshmi
    Department of Microbiology, All India Institute of Medical Sciences, India

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  • Splenic Abscess Caused by <i>Salmonella</i> Typhi: an Uncommon Presentation

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<p>Splenic abscess is an uncommon extra-intestinal complication of Salmonella Typhi infection in the post-antibiotic era. The condition is associated with high morbidity and mortality if not diagnosed in a timely manner. We report the case of a 20-year-old man who presented with left upper abdominal pain, high-grade fever, and a lump in the abdomen. Ultrasound and computed tomography scan of the abdomen revealed a large solitary splenic abscess. The abscess was drained percutaneously and Salmonella Typhi was isolated on a culture board, which was an unexpected finding. The patient was prescribed the appropriate antibiotics based on an antimicrobial susceptibility report and periodic follow-up was planned. The clinical condition of the patient improved along with complete resolution of the abscess. This report reiterates the importance of clinical diagnosis and radiological imaging even for common diseases presenting in an unusual fashion. Percutaneous drainage and microbial culture, with antibiotics prescribed based on susceptibility are key to the treatment of such abscesses.</p>

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