Salmonella paratyphi-induced splenic vein thrombosis: A case report on infrequent cause of acute abdomen

Abstract

Splenic vein thrombosis and splenic infarction are complications beyond the usual clinical spectrum of paratyphoid fever, and the presentation is rarely described. We report the case of a young female, who presented with high‐grade fever and severe left upper quadrant pain. Her blood culture was positive for Salmonella paratyphi A, with Widal test suggesting 4‐fold rise in titers. Computed tomography revealed splenic vein thrombosis and multiple splenic infarcts, for which antibiotic and anticoagulation were instituted simultaneously. She had a complete resolution with this management, and anticoagulation was tapered off on subsequent visits.

A written patient consent is present, duly signed by the patient. The authors obtained the consent after explaining that no identity will be revealed and the case information including pictures will be used for education purpose only. She also explained that journal publication will not contain any material or picture, disclosing her identity. The patient gave positive consent for publication and authors certify that written patient consent is present, procured for publication. The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that name and initial will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

RS, GJ: Case presentation, management, data collection, investigations, and writing of original draft. MG, SG and AC: Clinical management, discussion, literature review, writing of original draft including conclusion, references, and formatting.

None Declared.

None.