Salmonella cholecystitis: atypical presentation of a typical condition

• Published in: Journal of the College of Physicians and Surgeons--Pakistan Vol. 23; no. 10; pp. 826 - 827
• Main Authors: Ali, Rehan, Ahmed, Shakeel, Qadir, Maqbool, Atiq, Huba, Hamid, Muhammad
• Format: Journal Article
• Language: English
• Published: Pakistan College of Physicians and Surgeons Pakistan 01-11-2013
• Subjects: Anti-Bacterial Agents - administration & dosage; Anti-Bacterial Agents - therapeutic use; Care and treatment; Ceftriaxone - administration & dosage; Ceftriaxone - therapeutic use; Child; Cholecystitis; Cholecystitis - diagnosis; Cholecystitis - drug therapy; Cholecystitis - microbiology; Complications and side effects; Diagnosis; Female; Gallbladder - diagnostic imaging; Health aspects; Hepatomegaly - diagnostic imaging; Humans; Liver Function Tests; Salmonella Infections - diagnostic imaging; Salmonella Infections - etiology; Salmonella typhi - isolation & purification; Salmonella typhosa; Salmonellosis; Treatment Outcome; Typhoid fever; Typhoid Fever - complications; Typhoid Fever - microbiology; Ultrasonography; Pakistan
• ISSN: 1022-386X; 1681-7168

Salmonella cholecystitis is a rare but important complication of Salmonella typhi infection. We are reporting an 11 years old female child who presented with complaints of high-grade fever, jaundice and right sided abdominal pain (Charcot's triad). Her examination showed tender hepatomegaly. Initial blood results revealed high white cell counts with left shift, deranged liver function tests. Abdominal ultrasonography revealed distended gallbladder with minimal layer of sludge seen within its lumen along with streak of pericholecystic fluid. Blood culture grew Salmonella typhi. She was successfully treated with intravenous ceftriaxone.