Allal R, Kastler B, Gangi A, Bensaid A H, Bouali O, Cherrak C, Brun F, Dietemann J L
Service de Radiologie, Chu de Tlemcen, Algeria.
J Comput Assist Tomogr. 1993 Jan-Feb;17(1):90-3. doi: 10.1097/00004728-199301000-00016.
Salmonella typhi splenic abscesses (SA) are traditionally considered to be a rare complication of typhoid fever (TF). Our prospective study in an extensive series of patients was aimed at demonstrating that the incidence of SA was usually underestimated. Four hundred patients were systematically examined by abdominal ultrasound (US) at the time of proven biological diagnosis of TF, which was the 2nd week of admission. Twenty patients with persistent or recurrent symptoms (despite adequate treatment) or with acute lower thoracic pain were followed by US and CT. In eight patients both imaging modalities revealed anomalies compatible with SA.
伤寒沙门氏菌脾脓肿（SA）传统上被认为是伤寒热（TF）的一种罕见并发症。我们针对大量患者开展的前瞻性研究旨在证明SA的发病率通常被低估。在确诊为TF（即入院第二周）时，对400例患者进行了腹部超声（US）系统检查。对20例有持续或复发症状（尽管治疗充分）或急性下胸痛的患者进行了超声和CT检查。在8例患者中，两种影像学检查均显示出与SA相符的异常。
