Primary anterior parietal wall abscess due to Salmonella Typhi

Abstract

Enteric fever is endemic in most of the developing regions, especially the Indian subcontinent. Salmonella Typhi (S. Typhi) bacteremia is known to be associated with extra-intestinal disease. It is capable of forming abscesses in various organs, such as spleen, subcutaneous tissue and skin.1,2 The pathogenesis of abscess formation is not well established. Salmonella spp. can, though rarely, cause soft tissue infections at sites of local trauma. 3Our patient was a 38-year-old newly diagnosed diabetic female admitted to the surgical ward with chief complaints of pain, swelling in the left hypochondrium region and fever for two weeks. Local examination of abdomen revealed a single, 8 x 6 cm globular mass with smooth surface, and normal overlying skin in left hypochondrium. Clinical impression of parietal wall abscess was made. These fi ndings were further confi rmed on ultrasonography (USG) and CT scan (Figure 1). Incidentally, a single gall stone was also found on USG. Incision and drainage (I/D) was performed on two occasions, at two weeks interval. Pus obtained was processed as per standard protocols. 4 The fi rst I/D yielded only sterile pus, while the second showed growth of non lactose fermenting colonies on MacConkey agar, with typical biochemical reactions of S. Typhi. Serotyping with specifi c polyvalent (poly O), monovalent (O9) and Vi antisera confi rmed the diagnosis. The organism was sensitive to cotrimoxazole, gentamicin, ciprofl oxacin, ceftazidime, ceftriaxone, and resistant to ampicillin, nalidixic acid and chloramphenicol.

Wound infection by Salmonella Typhi in a spinal injury patient without underlying osteomyelitis

“…JN558836 from Andhra Pradesh, India and genotype matching with Central/East African strain of CHIKV as earlier reported. [1] Dear Editor, Chikungunya (CHIK) is a self-limiting viral infection usually characterized by sudden onset of high fever, skin rash and joint pain with or without swelling caused by an Arbo virus and is transmitted by Aedes mosquitoes (Aedes aegypti). [1] The incubation period of CHIK is usually between 2-10 days and mostly affects adult population in comparison to young population.…”

“…[1] There have been occasional reports on the occurrence of abscesses due to Salmonella sp. in liver, spleen and anterior abdominal wall.…”

A Rare Case of Primary Anterior Chest Wall Abscess due to Salmonella Typhi in an Immunocompetent Male

“…Apart from causing typhoid fever, S. Typhi has been known to cause rare extra intestinal illnesses such as meningitis, endocarditis, liver abscess, myocarditis, empyema, urinary tract infection, etc. 3,4 Cases although less documented may present with fever and abscess formation at sites like liver, 5 spleen, 6 anterior abdominal wall, 7 and breast. 8 Most of the skin and soft tissue infections that have been documented have been in immunocompromised individuals such as those with Type 2 diabetes and poor glycemic control, accounting as uncommon causes of focal salmonellosis.…”

Breast abscess due to Salmonella enterica serovar Typhi in a young diabetic female

“…Infection due to S. Typhi is occasionally associated with abscess formation in various organs namely pancreas, brain, liver, spleen, muscle and breast. [1][2][3][4][5][6] The abscess due to S. Typhi during typhoid is always associated with specific clinical features of enteric fever. But the presence of abscess without the general and specific symptoms of typhoid fever is unusual.…”