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Reminder of important clinical lesson
CASE REPORT
Salmonella Thompson splenic abscess in a healthy female
  1. Michael J Bonares1,
  2. Thomas Ying2,
  3. Yashesh Patel3
  1. 1General Internal Medicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
  2. 2University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
  3. 3General Internal Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada
  1. Correspondence to Dr Michael J Bonares, michael.bonares{at}mail.utoronto.ca

Summary

A 26-year-old woman presented with a 5-day history of fever and 3-day history of left upper quadrant abdominal pain and cough associated with left shoulder tip pain. Initial blood cultures did not display growth. On CT imaging, there was a cyst measuring 7.2×8 cm originally interpreted to be haemorrhagic in nature. Repeat cultures during admission revealed Salmonella Thompson. Percutaneous drainage and antibiotic treatment, rather than splenectomy, was successfully pursued with the patient afebrile and in no pain at 6 weeks follow-up.

  • infectious diseases
  • medical management

https://doi.org/10.1136/bcr-2016-218595

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    Footnotes

    • Contributors MJB and TY are co-first authors. MJB contributed to study design, data collection, data analysis and writing. TY contributed to study design, data collections, data analysis, writing. YP contributed to study design and writing.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.