Spontaneous spleen rupture during typhoid fever

Julià, Joaquim; Canet, Joan Josep; Lacasa, Xavier Martínez; González, Guadalupe; Garau, Javier

doi:10.1016/s1201-9712(00)90104-8

Cited by 20 publications

(8 citation statements)

References 4 publications

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“…In Kenya, Berkley et al (1999) reported overall incidence of bacteraemia (7.8 %) in children with severe malaria and 12.0 % in children fewer than 30 months of age. There has been a reported case of concurrent falciparum malaria and Salmonella bacteraemia in travelers from developing countries (Gopinath et al, 1995;Jensenius et al, 1998;Julia et al, 2000). In Nigeria,…”

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confidence: 99%

Co-infection of malaria and typhoid fever in a tropical community

Ekesiobi¹,

Njoku²

2009

Anim. Res. Int.

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A study was carried out on patients clinically diagnosed of malaria or typhoid or both, at Nnewi Anambra State, Nigeria, to investigate the level of association between malaria and typhoid fever infections. The stool culture was used as an additional diagnostic test for typho d fever. The study indicated that out of 256 patients, 29(14.36 %) were diagnosed with concurrent malaria and typhoid fever based on bacterio og cal method as compared to 147 (57.42 %) base on serological method. Plasmod um falciparum was the only Plasmodium species isolated. Furthermore, 42.59 % were l kely to have been falsely diagnosed of having concurrent malaria and typhoid fever using serology. Our study indicated that out of 202 (78.90 %) ma aria positive patients, 13(6.44 %); 12(5 94 %) and 3(1.49 %) had concurrent malaria co-existing with Salmonella typhi, S. paratyhpi and S. typhimurium respectively. Malaria was positively associated with typhoid fever (P < 0.05) being more pronounced using serological diagnosis. The difference in the P asmodium falciprum parasteamia and Salmonella antibody titre was only significant using Widal test. Diagnosis of typhoid fever in malaria positive patients using Widal test solely may lead to misleading and unreliable results. i l i i i l .

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confidence: 99%

Co-infection of malaria and typhoid fever in a tropical community

Ekesiobi¹,

Njoku²

2009

Anim. Res. Int.

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“…This is a known complication 1 but spontaneous splenic injury due to typhoid fever has also been reported. 4 Our case demonstrates the potential difficulty in diagnosing typhoid fever, in part because of the relatively low sensitivity of blood, urine and stool cultures. The negative results of the bone marrow culture likely reflects the 14-day course of antibiotics.…”

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confidence: 87%

An all-inclusive vacation

Szakacs¹,

McCarthy²

2007

Canadian Medical Association Journal

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The Case: A 70-year-old man presented with a 3-day history of abdominal cramping, nonbloody diarrhea and fever. The patient had returned 2 weeks earlier from a trip to a 5-star allinclusive resort in Punta Cana, Dominican Republic, where he had eaten food only at the resort and had drunk bottled water. He had made no day trips. In the final days of his trip, the patient had developed watery diarrhea that resolved spontaneously shortly after he returned to Canada. He had not received pretravel vaccinations, nor had he taken malaria prophylaxis. The patient's medical history included gastritis that had been treated with pantoprazole and successful catheter ablation for treatment of atrial fibrillation.On physical examination, the patient was free of symptoms of severe infection with a temperature of 39.0°C, heart rate 82 beats/min and regular, and a blood pressure of 124/77 mm Hg. He had right lower-quadrant abdominal pain without signs of peritonitis. There was no rash. The results of routine blood tests were normal. A CT scan

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“…Rupture usually occurs during the first week although delayed rupture cases are well documented [35]. Stephenson and DuBois showed in a recent report that patients requiring less than 4 U or 40 mL/kg of PRBC for resuscitation can be managed conservatively [36].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Splenic Rupture Following Bouts of Coughing: A Rare Case Report and Literature Review

Biswas

Richards

2016

J Curr Surg

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Splenic rupture due to trauma is relatively common. However, spontaneous non-traumatic ruptures do occur. Causes include infection, neoplasia and infiltrative process. We present an unique case of a 59-year-old patient who presented with dyspnea and left upper abdominal discomfort following bouts of coughing, and was provisionally diagnosed as pulmonary embolism. CT scan revealed splenic rupture. Only a few case reports are published documenting spontaneous splenic rupture following coughing. The therapy of choice can vary between patients depending on the grade of splenic rupture, hemodynamic instability, availability of endovascular treatment and physician preference. Treatment should be focused on preserving splenic tissue if feasible. Non-traumatic rupture of the spleen must be considered in patients presenting with left-sided upper abdominal pain even without evident history of trauma, since early recognition and treatment can prevent serious morbidity and mortality.

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Spontaneous spleen rupture during typhoid fever

Cited by 20 publications

References 4 publications

Co-infection of malaria and typhoid fever in a tropical community

Co-infection of malaria and typhoid fever in a tropical community

An all-inclusive vacation

Spontaneous Splenic Rupture Following Bouts of Coughing: A Rare Case Report and Literature Review

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