Article ID: JJID.2020.518
Splenic abscess is an uncommon extra-intestinal complication of Salmonella Typhi in the postantibiotic era. It has high morbidity and mortality, if not diagnosed timely. We present a case of a 20-year-old male who presented with left upper abdominal pain, high-grade fever and awareness of lump. Ultrasound and computed tomography scan of abdomen revealed a large solitary splenic abscess. Abscess was drained percutaneously and isolated Salmonella Typhi on culture board which was a real clinical surprise. The patient was given appropriate antibiotics based on an antimicrobial susceptibility report along with timely follow up. The clinical condition of the patient improved along with the complete resolution of the abscess. This report reiterates the importance of clinical diagnosis and radiological imaging even for the common diseases when presents in an unusual fashion. Percutaneous drainage and microbial culture with susceptibility based antibiotics are the key to its treatment.
