Saini Ruchika, Jesrani Gautam, Gupta Monica, Gupta Samiksha, Chhabra Ankit
Department of General Medicine, Government Medical College and Hospital, Chandigarh, India.
Turk J Emerg Med. 2021 Oct 29;21(4):210-213. doi: 10.4103/2452-2473.329625. eCollection 2021 Oct-Dec.
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 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.
脾静脉血栓形成和脾梗死是超出伤寒热常见临床范围的并发症,其表现很少被描述。我们报告了一例年轻女性病例,她出现高热和严重的左上腹疼痛。她的血培养显示甲型副伤寒杆菌阳性,肥达试验提示效价升高4倍。计算机断层扫描显示脾静脉血栓形成和多发性脾梗死,对此同时给予抗生素和抗凝治疗。经此治疗,她完全康复,后续复诊时逐渐停用抗凝药物。