Salmonella Thompson splenic abscess in a healthy female

A 26-year-old woman presented with a 5-day history of fever and 3-day history of left upper quadrant abdominal pain and cough associated with left shoulder tip pain. Initial blood cultures did not display growth. On CT imaging, there was a cyst measuring 7.2×8 cm originally interpreted to be haemorr...

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Bibliographic Details
Published in:BMJ case reports 2017-08, Vol.2017, p.bcr-2016-218595
Main Authors: Bonares, Michael J, Ying, Thomas, Patel, Yashesh
Format: Article
Language:English
Subjects:
Abdomen
Abscess - complications
Abscess - diagnosis
Abscess - diagnostic imaging
Abscess - surgery
Abscesses
Adult
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antibiotics
Case reports
Cysts
Diabetes
Diagnosis, Differential
Drainage
Epidemics
Female
Fever
Fever - etiology
Fluids
Humans
Infections
Infusions, Intravenous
Medical imaging
Narcotics
Pain
Reminder of Important Clinical Lesson
Salmonella
Salmonella - isolation & purification
Salmonella Infections - complications
Salmonella Infections - diagnosis
Salmonella Infections - diagnostic imaging
Salmonella Infections - surgery
Shoulder Pain - etiology
Splenic Diseases - complications
Splenic Diseases - diagnosis
Splenic Diseases - diagnostic imaging
Splenic Diseases - surgery
Trauma
Typhoid
USA/Canada
Vehicles
White
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Description
Summary:A 26-year-old woman presented with a 5-day history of fever and 3-day history of left upper quadrant abdominal pain and cough associated with left shoulder tip pain. Initial blood cultures did not display growth. On CT imaging, there was a cyst measuring 7.2×8 cm originally interpreted to be haemorrhagic in nature. Repeat cultures during admission revealed Salmonella Thompson. Percutaneous drainage and antibiotic treatment, rather than splenectomy, was successfully pursued with the patient afebrile and in no pain at 6 weeks follow-up.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-218595