Saini R, Jesrani G, Gupta M, Gupta S, Chhabra A.
Salmonella paratyphi-induced splenic vein thrombosis: A case report on infrequent cause of acute abdomen.
Turk J Emerg Med 2021;
21:210-213. [PMID:
34849434 PMCID:
PMC8593428 DOI:
10.4103/2452-2473.329625]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 04/06/2021] [Accepted: 04/16/2021] [Indexed: 11/21/2022] Open
Abstract
Splenic vein thrombosis and splenic infarction are complications beyond the usual clinical spectrum of paratyphoid fever, and the presentation is rarely described. We report the case of a young female, who presented with high-grade fever and severe left upper quadrant pain. Her blood culture was positive for Salmonella paratyphi A, with Widal test suggesting 4-fold rise in titers. Computed tomography revealed splenic vein thrombosis and multiple splenic infarcts, for which antibiotic and anticoagulation were instituted simultaneously. She had a complete resolution with this management, and anticoagulation was tapered off on subsequent visits.
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