Mesenteric Adenitis Caused by Salmonella Typhi: A  Case Report

Nik Haszroel Hysham Nik Hashim; Nur Ain Che Azmi

doi:10.31436/imjm.v20i2.1684

Mesenteric Adenitis Caused by Salmonella Typhi: A Case Report

Authors

Nik Haszroel Hysham Nik Hashim Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia https://orcid.org/0000-0003-3308-5162
Nur Ain Che Azmi Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia

DOI:

https://doi.org/10.31436/imjm.v20i2.1684

Keywords:

Mesenteric adenitis, Typhoid fever, Salmonella Typhi, acute appendicitis

Abstract

Both mesenteric adenitis and acute appendicitis may present with fever and right lower quadrant pain. This presentation makes it challenging to provide a timely and accurate diagnosis to avoid unnecessary surgery. We report a case of an 8-year-old who was admitted with fever and right lower quadrant pain, loss of appetite, and diarrhoea. There were tenderness and rigidity in the right lower quadrant of the abdomen. Hepatomegaly was present. Full blood count showed pancytopenia, and serum transaminases were mildly elevated. The clinical features in typhoid fever are not specific, making it difficult to differentiate from other infectious causes such as malaria, dengue, or leptospirosis, common in the region. This report illustrates a rare case of mesenteric adenitis caused by Salmonella serotype Typhi. It also shows the benefit of doing an abdominal ultrasound to help the surgeon decide whether surgery is necessary.

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Published

01.04.2021

How to Cite

Nik Hashim, N. H. H., & Che Azmi, N. A. (2021). Mesenteric Adenitis Caused by Salmonella Typhi: A Case Report . IIUM Medical Journal Malaysia, 20(2). https://doi.org/10.31436/imjm.v20i2.1684

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Issue

Vol. 20 No. 2 (2021): IIUM Medical Journal Malaysia - April 2021

Section

Case Report

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