Vithiya Ganesan, T Rajendran, Shunmuga Sundaram Ponnusamy
{"title":"脾脓肿合并甲型副伤寒沙门氏菌感染：1例报告及文献系统回顾（2001-2024）。","authors":"Vithiya Ganesan, T Rajendran, Shunmuga Sundaram Ponnusamy","doi":"10.59556/japi.73.0998","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Recently, there is an upsurge of splenic abscess due to typhoidal <i>Salmonella</i> in India.</p><p><strong>Methods: </strong>We present a case of splenic abscess caused by <i>Salmonella paratyphi</i> A in an immunocompetent male and conducted a systematic review of splenic abscess cases attributed to typhoidal <i>Salmonella</i> described between January 2001 and May 2024.</p><p><strong>Results: </strong>Of 33 cases reviewed, 26, 2, and 1 case each were reported from India, Sri Lanka, Turkey, Qatar, and Pakistan, respectively. <i>S. typhi</i> and <i>S. paratyphi</i> A were reported from 29 and 4 cases, respectively. Mean age was 21 years, with 13 children and 8 females. About 28 were immunocompetent and two had diabetes mellitus. Blood, pus, stool, and pleural fluid grew the isolate in 13, 20, 1, and 1 case, respectively. Ultrasonography (USG) abdomen was diagnostic in 28 cases and normal in two cases. Computed tomography (CT) abdomen was diagnostic in all the 27 cases tested. About 17, 12, and 1 patient showed multiple abscesses, solitary lesion, and multiloculated lesion, respectively. USG/CT-guided percutaneous drainage and splenectomy were performed in 25 and 7 cases, respectively. All 33 patients recovered from the infection.</p><p><strong>Conclusion: </strong>We aspire to raise acquaintance among health professionals regarding this uncommon entity and foresee it in pertinent contexts.</p>","PeriodicalId":22693,"journal":{"name":"The Journal of the Association of Physicians of India","volume":"73 9","pages":"66-72"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Splenic Abscess Complicating <i>Salmonella paratyphi</i> A Infection: A Case Report and Systematic Review of Literature (2001-2024).\",\"authors\":\"Vithiya Ganesan, T Rajendran, Shunmuga Sundaram Ponnusamy\",\"doi\":\"10.59556/japi.73.0998\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Recently, there is an upsurge of splenic abscess due to typhoidal <i>Salmonella</i> in India.</p><p><strong>Methods: </strong>We present a case of splenic abscess caused by <i>Salmonella paratyphi</i> A in an immunocompetent male and conducted a systematic review of splenic abscess cases attributed to typhoidal <i>Salmonella</i> described between January 2001 and May 2024.</p><p><strong>Results: </strong>Of 33 cases reviewed, 26, 2, and 1 case each were reported from India, Sri Lanka, Turkey, Qatar, and Pakistan, respectively. <i>S. typhi</i> and <i>S. paratyphi</i> A were reported from 29 and 4 cases, respectively. Mean age was 21 years, with 13 children and 8 females. About 28 were immunocompetent and two had diabetes mellitus. Blood, pus, stool, and pleural fluid grew the isolate in 13, 20, 1, and 1 case, respectively. Ultrasonography (USG) abdomen was diagnostic in 28 cases and normal in two cases. Computed tomography (CT) abdomen was diagnostic in all the 27 cases tested. About 17, 12, and 1 patient showed multiple abscesses, solitary lesion, and multiloculated lesion, respectively. USG/CT-guided percutaneous drainage and splenectomy were performed in 25 and 7 cases, respectively. All 33 patients recovered from the infection.</p><p><strong>Conclusion: </strong>We aspire to raise acquaintance among health professionals regarding this uncommon entity and foresee it in pertinent contexts.</p>\",\"PeriodicalId\":22693,\"journal\":{\"name\":\"The Journal of the Association of Physicians of India\",\"volume\":\"73 9\",\"pages\":\"66-72\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of the Association of Physicians of India\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.59556/japi.73.0998\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of the Association of Physicians of India","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.59556/japi.73.0998","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Splenic Abscess Complicating Salmonella paratyphi A Infection: A Case Report and Systematic Review of Literature (2001-2024).
Introduction: Recently, there is an upsurge of splenic abscess due to typhoidal Salmonella in India.
Methods: We present a case of splenic abscess caused by Salmonella paratyphi A in an immunocompetent male and conducted a systematic review of splenic abscess cases attributed to typhoidal Salmonella described between January 2001 and May 2024.
Results: Of 33 cases reviewed, 26, 2, and 1 case each were reported from India, Sri Lanka, Turkey, Qatar, and Pakistan, respectively. S. typhi and S. paratyphi A were reported from 29 and 4 cases, respectively. Mean age was 21 years, with 13 children and 8 females. About 28 were immunocompetent and two had diabetes mellitus. Blood, pus, stool, and pleural fluid grew the isolate in 13, 20, 1, and 1 case, respectively. Ultrasonography (USG) abdomen was diagnostic in 28 cases and normal in two cases. Computed tomography (CT) abdomen was diagnostic in all the 27 cases tested. About 17, 12, and 1 patient showed multiple abscesses, solitary lesion, and multiloculated lesion, respectively. USG/CT-guided percutaneous drainage and splenectomy were performed in 25 and 7 cases, respectively. All 33 patients recovered from the infection.
Conclusion: We aspire to raise acquaintance among health professionals regarding this uncommon entity and foresee it in pertinent contexts.
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