Al-Anbagi Usamah, Saad Abdulrahman, Ibrahim Tarek, Lameen Hassan M, Nashwan Abdulqadir J
Internal Medicine Department, Hazm Mebaireek General Hospital/Hamad Medical Corporation, Doha, QAT.
Medicine Department, Ministry of Public Health, Doha, QAT.
Cureus. 2025 Jun 6;17(6):e85447. doi: 10.7759/cureus.85447. eCollection 2025 Jun.
Enteric fever, caused by or , remains a significant global health issue, especially in endemic areas. The disease typically presents with prolonged fever, abdominal discomfort, and gastrointestinal symptoms. However, complications such as infective fasciitis and muscle abscess, though rare, can occur and lead to severe consequences. We present a case of a 29-year-old male diagnosed with infection, who developed infective fasciitis of the lower psoas and iliacus muscles, with early abscess formation. This case underscores the potential for atypical presentations of enteric fever and highlights the importance of early diagnosis and appropriate antibiotic therapy to prevent severe complications. This report also discusses diagnostic challenges, treatment options, and the evolving resistance patterns to common antibiotics to manage enteric fever.
伤寒热由伤寒杆菌或副伤寒杆菌引起，仍然是一个重大的全球健康问题，尤其是在流行地区。该疾病通常表现为持续发热、腹部不适和胃肠道症状。然而，感染性筋膜炎和肌肉脓肿等并发症虽然罕见，但可能发生并导致严重后果。我们报告一例29岁男性被诊断为伤寒感染，该患者出现了腰大肌和髂肌的感染性筋膜炎，并早期形成脓肿。该病例强调了伤寒热非典型表现的可能性，并突出了早期诊断和适当抗生素治疗以预防严重并发症的重要性。本报告还讨论了诊断挑战、治疗选择以及针对伤寒热的常见抗生素不断变化的耐药模式。
