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1.
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Kaur N, Varshney VK, Kombade SP, Yadav T, Suman S, Garg PK, Nag VL, 2021. Splenic abscess caused by Salmonella typhi: An uncommon presentation. Jpn J Infect Dis 74: 166–168.
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Pericardial Abscess Due to Salmonella Typhi Infection
Manli Zhang
Manli Zhang
Department of Infectious Diseases, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China;
Core Cooperative Unit of National Clinical Research Center for Infectious Diseases, Bengbu, China;
Key Laboratory of Infection and Immunity of Anhui Province, Bengbu, China
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Core Cooperative Unit of National Clinical Research Center for Infectious Diseases, Bengbu, China;
Key Laboratory of Infection and Immunity of Anhui Province, Bengbu, China
Search for other papers by Manli Zhang in
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Chunming Gao
by21155@163.com
Chunming Gao
Department of Infectious Diseases, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China;
Core Cooperative Unit of National Clinical Research Center for Infectious Diseases, Bengbu, China;
Key Laboratory of Infection and Immunity of Anhui Province, Bengbu, China
Search for other papers by Chunming Gao in
Current site
Google Scholar
PubMed
Core Cooperative Unit of National Clinical Research Center for Infectious Diseases, Bengbu, China;
Key Laboratory of Infection and Immunity of Anhui Province, Bengbu, China
Search for other papers by Chunming Gao in
Current site
Google Scholar
PubMed
ABSTRACT.
Typhoid fever is a human-specific disease caused by subspecies of Salmonella enterica (Salmonella Typhi). It spreads through ingestion of contaminated food or water and is diagnosed through blood culture or bone marrow culture. It typically presents as an intestinal infection, with a few patients developing severe disseminated infections. Here, we report a rare case of purulent pericarditis secondary to S. Typhi infection. A 67-year-old elderly male suffered from recurrent fever, diarrhea, and abdominal pain for 7 days. Initial blood and stool cultures were positive for Salmonella, and a follow-up blood culture confirmed S. Typhi. Magnetic resonance imaging showed pericardial abscess and hepatic abscess. After pericardiocentesis, the pericardial fluid culture grew S. Typhi, confirming the diagnosis of pericardial abscess secondary to S. Typhi infection. After percutaneous drainage of the pericardial abscess and administration of effective antibiotics, the patient’s symptoms improved significantly. He subsequently recovered and was discharged from the hospital. During follow-up, there were no further recurrences. Disseminated infection secondary to Salmonella Typhi is extremely rare but can lead to serious life-threatening conditions. Our patient was found to have pericardial abscess caused by S. Typhi. Effective and adequate antibiotics, along with pericardial abscess drainage, can improve symptoms, assist in diagnosis, and enhance quality of life.
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Author Notes
Financial support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Authors’ contributions: M. Zhang: Writing—original draft, conceptualization, data curation; Writing—review & editing. C. Gao: Writing—review & editing.
Current contact information: Manli Zhang and Chunming Gao, Department of Infectious Diseases, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China. E-mails: zmlmentor@163.com and by21155@163.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Getahun SA, Limaono J, Ligaitukana R, Cabenatabua O, Soqo V, Diege R, Mua M, 2019. Ovarian abscess caused by Salmonella enterica serovar Typhi: A case report. J Med Case Rep 13: 303.
-
2.
Kaur N, Varshney VK, Kombade SP, Yadav T, Suman S, Garg PK, Nag VL, 2021. Splenic abscess caused by Salmonella typhi: An uncommon presentation. Jpn J Infect Dis 74: 166–168.
-
3.
Marchello CS, Birkhold M, Crump JA, 2020. Complications and mortality of typhoid fever: A global systematic review and meta-analysis. J Infect 81: 902–910.
-
4.
Kumwenda M, Iroh Tam PY, 2019. An adolescent with multi-organ involvement from typhoid fever. Malawi Med J 31: 159–160.
-
5.
GBD 2016 Causes of Death Collaborators, 2017. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet 390: 1151–1210.
-
6.
Tanmoy AM, Westeel E, De Bruyne K, Goris J, Rajoharison A, Sajib MSI, van Belkum A, Saha SK, Komurian-Pradel F, Endtz HP, 2018. Salmonella enterica serovar Typhi in Bangladesh: Exploration of genomic diversity and antimicrobial resistance. mBio 9: e02112-18.
-
7.
Keddy KH, Sooka A, Smith AM, Musekiwa A, Tau NP, Klugman KP, Angulo FJ; GERMS-SA, 2016. Typhoid fever in South Africa in an endemic HIV setting. PLoS One 11: e0164939.
-
8.
Xue ZX, Ge Y, Guo FP, Ma XJ, 2021. Salmonella bacteremia and its disseminated infection should not be neglected. Zhonghua Nei Ke Za Zhi 60: 102–105.
-
9.
Marchello CS, Carr SD, Crump JA, 2020. A systematic review on antimicrobial resistance among Salmonella Typhi worldwide. Am J Trop Med Hyg 103: 2518–2527.
-
10.
Talibi Alaoui Z, Arabi F, Ihbibane F, Soraa N, Tassi N, 2021. The first description of liver abscesses due to Salmonella enterica subsp. enterica in an African HIV-infected young woman: Case report and review of the literature. Rev Inst Med Trop Sao Paulo 63: e72.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1090 | 1090 | 318 |
| Full Text Views | 24 | 24 | 9 |
| PDF Downloads | 24 | 24 | 9 |