Kobe Journal of Medical Sciences, 2000
SPLENIC ABSCESS, PLEURAL EFFUSION AND SEVERE ANEMIA CAUSED BY Salmonella typhi.
Huseyin SAKSEN*, Ahmet Faik ONER*, Sukru ARSLAN*, Burhan KOSEOGLU**, Mustafa HARMAN ***, Bulent ATAS*, and Mahmut ABUHANDAN*
* Department of Pediatrics. ** Department of Pediatric Surgery. *** Department of Radiology. Yuzuncu Yil University, Faculty of Medicine, Van, TURKEY
Kobe J. Med. Sci. 46, 201-204, October 2000
AB: Various complications related to gastrointestinal system, central nervous system, and skeletal system may be observed during typhoid fever, but splenic abscess and pleural effusion are rarely encountered. A 12-year-old boy was admitted with fever, fatigue and pallor. On examination he had hepatosplenomegaly and severe anemia. He was diagnosed as having Salmonella typhi infection complicating with splenic abscess, pleural effusion and severe anemia, and successfully treated with percutaneous drainage with ultrasonography and antibiotics. In conclusion we would like to emphasize that typhoid fever should also be considered in patients with hepatosplenomegaly and severe anemia and percutaneous drainage with ultrasonography may successfully be used in management of splenic abscess in typhoid fever.