Spontaneous splenic rupture in typhoid fever

Abstract

Summary:Three cases of multidrug-resistant Salmonella typhi infection presenting as spontaneous splenic rupture are presented. One patient died and two recovered completely. This is a previously unreported presentation of typhoid fever.

Spontaneous Splenic Rupture in an Ill Returned Traveller

“…Salmonella is known for its remarkable presentations, such as osteitis, aortitis and abscesses [1] . In cases of splenic rupture in Salmonella infections, the causative organism is predominately Salmonella Typhi or Paratyphi [2][3][4][5] . Splenomegaly is a more common feature of systemic Salmonella infection, although this is also a typical sign or clinical feature of typhoidal Salmonella infections.…”