A RARE PRESENTATION OF SALMONELLA TYPHI AS MULTIPLE LIVER ABSCESS WITH TYPHOID FEVER IN A CHILD

Dr. Urvashi Suman, Dr. Monica Chaudhary, Dr. Chander Prakash Baveja

Abstract


Etiologic agents and risk factors of liver abscess have shown changing trends in recent years. Salmonella Typhi causes enteric fever which is a
major cause of morbidity and mortality in children and adolescent in developing countries. However, it is not considered as an important causative
agent of pyogenic liver abscess. Although liver is often involved in children in typhoid but complication and presentation as liver abscess is rare.
Thus, a rapid identification is crucial for the institution of timely management and effective outcome of the disease. Hereby, we present a case of a 6
year old male child with multiple liver abscess which had a favourable outcome consequent to timely diagnosis and management.

 

 


Keywords


Pyogenic liver abscess, Typhoid fever, Salmonella Typhi, Complication

Full Text:

PDF

References


Deguelte SL, Ragot E, Armoun K, Piardi T, Dokmak S, Bruno O, et al. Hepatic abscess: diagnosis and management. J Visc Surg 2015; 152:231–43.

Kumar D, Ramanathan S, Al Faki A, Nepal P. Faecolith migrating from the appendix to produce liver abscess after subhepatic laparoscopic appendectomy. Trop Doct 2015;45:241–244. doi: 10.1177/0049475515577749.

Seeto R, Rockey DC. Pyogenic liver abscess: changes in etiology, management and outcome. Medicine. 1996; 75: 99–113.

Chou FF, Sheen-Chen SM, Chen YS, Chen MC. Single and multiple pyo¬genic liver abscesses: clinical course, etiology and results of treatment. World J Surg. 1997; 21:384–9

Lalitha MK, John R. Unusual manifestations of salmonellosis-a surgical problem. Quart J Med.1994; 87(5): 301-9.

Huang DB, Herbert L Du Pont. Problem pathogens: extra-intestinal complications of Salmonella enterica serotype Typhi infection. Lancet Infect Dis. 2005; 5(6):341-8.

Moralejo ML, Montero MJ, Fuertes A, de Las Heras JA, Jimenez A, 2002. Liver abscess due to Salmonella typhi. Enferm Infecc Microbiol Clin 20: 41.

Gailson T, Pandit S. Salmonella liver abscess: an unusual complication of typhoid fever with hepatitis: a coinfection. Int J Contemp Pediatr. 2019 Sep; 6(5):2212-4.

Mavilia MG, Molina M, Wu GY. The Evolving Nature of Hepatic Abscess: A Review. J Clin Transl Hepatol. 2016; 4 (2): 158–68.


Refbacks

  • There are currently no refbacks.