MULTIPLE SPLENIC ABSCESSES, A RARE COMPLICATION OF ENTERIC FEVER: CASE REPORT AND LITERATURE REVIEW

Background:-Splenic abscesses caused by Salmonella typhi are a rare and often overlooked complication of enteric fever. Typically, these abscesses are solitary, but in some cases, multiple abscesses may form. Here we report the case of a child with enteric fever, who presented with multiple splenic abscesses.

Case Presentation:-An eight-year-old girl presented with complaints of high-grade fever, abdominal pain, and distension associated with nausea and vomiting. General physical examination showed high grade fever of 103oF, and had left upper quadrant tenderness on systemic examination. Imaging studies were suggestive of multiple splenic abscesses, which were treated with aspiration and antibiotics. This case stresses the rare cause of splenic abscess in children with no prior risk factors, and the significance of prompt diagnosis and suitable management strategies for such rare but serious complications.

Conclusion:-Splenic abscesses are a rare but serious complication of enteric fever, especially in children. It may be treated with antibiotics with or without percutaneous aspiration as a first line of treatment, but splenectomy should be considered in cases not responding to medical management.