Citation Information :
Kumar K, Kumar D, Kumar V, Rajeshwari K. Infarction of Spleen as a Rare Complication of Drug-resistant Enteric Fever in a Child: A Case Report. Pediatr Inf Dis 2023; 5 (1):30-32.
Splenic infarct is an extremely rare complication of enteric fever in children. It could be misdiagnosed as a splenic abscess where computed tomography (CT) has to be used over ultrasonography to confirm the diagnosis. We reported a young girl who was presented with fever and abdominal pain whose diagnosis of enteric fever was made by Widal and blood culture. She had pain over the upper left abdomen; ultrasonography revealed a splenic abscess; however, the clinical course of the patient doubted the diagnosis for which CT was done, which confirmed the lesion as splenic infarct.
Bhutta ZA. Impact of age and drug resistance on mortality in typhoid fever. Arch Dis Child 1996;75(3):214–217. DOI: 10.1136/adc.75.3.214
Huang DB, DuPont HL. Problem pathogens: extra-intestinal complications of Salmonella enterica serotype Typhi infection. Lancet Infect Dis 2005;5(6):341–348. DOI: 10.1016/S1473-3099(05)70138-9
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):537–538. DOI: 10.7860/JCDR/2013/4563.2816
Shamanna P, Ravindran J, Sethumadhavan M. Salmonella Typhi causing splenic abscess - a rare case. Nat J Lab Med 2017;6(1): MC01–MC03. DOI: 10.7860/NJLM/2017/22754:2187
Mehta LK, Arya SC, Mathai G. Infarction of spleen in typhoid fever. Saudi Med J 2007;28(2):271–272.
Nilajkar G, Phadte A, Pereira C. A curious case of splenic infarction. Indian J Case Rep 2018;4:478–480. DOI: 10.32677/IJCR.2018.V04.I06.023
Küpeli S, Alehan D, Akpinar E. Isolated splenic infarction owing to group B Salmonella: case report. Ann Trop Paediatr 2002;22(4):380–382. DOI: 10.1179/027249302125002056
Ali G, Kamili MA, Rashid S, et al. Spontaneous splenic rupture in typhoid fever. Postgrad Med J 1994;70(825):513–514. DOI: 10.1136/pgmj.70.825.513
Nores M, Phillips EH, Morgenstern L, et al. The clinical spectrum of splenic infarction. Ann Surg 1998;64(2):182–188.
Gupta A, Gaba S, Gupta M, et al. Splenic infarction in P vivax malaria. J Med Coll 2018;8(1):35–37.
Khan S, Saud S, Khan I, et al. Epstein Barr virus-induced antiphospholipid antibodies resulting in splenic infarct: a case report. Cureus 2019;11(2):e4119. DOI: 10.7759/cureus.4119
Li Y, George A, Arnaout S, et al. Splenic infarction: an under-recognized complication of infectious mononucleosis? Open Forum Infect Dis 2018;5(3):ofy041. DOI: 10.1093/ofid/ofy041