SUB DIAPHRAGMATIC ABSCESS DUE TO SALMONELLA TYPHI: A RARE CASE REPORT FROM SUB-HIMALAYAN REGION
Keywords:
Salmonella Typhi, Diaphragmatic, Sub Himalayan
Abstract
Salmonella Typhi causing subdiaphragmatic abscess is a rare entity. Intraabdominal abscess due to salmonella is usually associated with nontyphoid salmonella. We report a rare case of subdiaphragmatic abscess due to Salmonella Typhi in an 80 years old diabetic man. Ultrasound-guided drainage of fluid revealed pus cells on microscopy, and S. Typhi was cultured and identified by necessary biochemical tests and specific antisera. The patient succumbed to infection despite appropriate antibiotics, possibly due to co-morbid conditions. The case is presented for its rarity and to highlight atypical manifestations of S. Typhi in endemic regions.
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References
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2. Harish B N, Menezes G A. Antimicrobial resistance in typhoidal Salmonellae. Indian J Med Microbiol 2011; 29:223-9.
3. Singh G, Dasgupta M, Gautam V, Behera A, Ray P. Bilateral breast abscess due to Salmonella enterica Serotype Typhi. J Glob Infect Dis 2011; 3:402-4.
4. Singhal L, Gupta PK, Kale P, Gautam V, Ray P. Trends in antimicrobial susceptibility of Salmonella Typhi from North India (2001-2012). Indian J Med Microbiol 2014; 32(2) 149-52
5. Clinical Laboratory Standards Institute (CLSI) Guidelines. Performance Standards for antimicrobials Disc Susceptibility Tests. Approved standard. 11th ed. CLSI document M100-S22. Wayne, PA: CLSI; 2012.
6. Pandit A, Arjyal A, Paudyal B, Campbell JC, Day JN, Farrar JJ et al. A patient with paratyphoid a fever: an emerging problem in Asia and not always a benign disease. J Travel Med 2008; 15(5):364-5.
7. Levine NM, Black RE, Lanata C. Precise estimation of the numbers of chronic carriers of Salmonella Typhi in Santiago, Chile, an endmic area. J Infect Dis 1982; 146: 724-6.
8. Ciraj AM, Reetika D, Bhat GK, Pai CG, Shivananda PG. A hepatic abscess caused by Salmonella Typhi. J Assoc Physicians India 2001; 49:1021-2.
9. Schioler H, Christiansen ED, Hoybye G, Rasmussen SN, Greibe J. Biliary calculi in chronic Salmonella carriers and healthy controls: a controlled study. Scand J Infect Dis 1983; 15:17-9.
10. Parry CM, Hien TT, Dougan G, White NJ, Farrar JJ. Typhoid fever. N Engl J Med. 2002; 347; 1770-82.
11. Kumar LD, Mamattah JH, Clegg JF. Subphrenic abscess and salmonellosis. J Royal College Surgeons Edinburgh 1983; 28(6):409-10.
12. Billingham JD, Slack MPE. Cholecystitis and subphrenic abscess caused by S.virchow. postgrad Med J 1981; 57(667): 308-9.
How to Cite
1.
Mokta KK, Mokta JK, Angrup A, Sood S, Chauhan D. SUB DIAPHRAGMATIC ABSCESS DUE TO SALMONELLA TYPHI: A RARE CASE REPORT FROM SUB-HIMALAYAN REGION. Med. res. chronicles [Internet]. 2015Mar.15 [cited 2024Apr.30];2(2):161-4. Available from: https://medrech.com/index.php/medrech/article/view/62
Section
Case Report
