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CASE REPORT
Year : 2021  |  Volume : 21  |  Issue : 4  |  Page : 210-213

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


Department of General Medicine, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Dr. Ruchika Saini
Department of General Medicine, Government Medical College and Hospital, Sector 32, Chandigarh - 160 030
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2452-2473.329625

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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.


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