A Case of Pancreatic Abscess Due to Salmonella Typhi.
- Author:
Kyung Su SEO
1
;
Hyun Myung OH
;
Jin Hee HONG
;
Eun Young SEONG
;
Young Il YU
;
Gwang Ha KIM
;
Jung HEO
;
Geun Am SONG
;
Chul Soo SONG
;
Mong CHO
;
Ung Suk YANG
Author Information
1. Department of Internal Medicine, Pusan National University College of Medicine, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Pancreatic abscess;
Salmonella typhi
- MeSH:
Abscess*;
Anti-Bacterial Agents;
Bacteremia;
Bile;
Catheters;
Ceftriaxone;
Cholecystitis;
Drainage;
Female;
Humans;
Joints;
Liver Abscess;
Pancreas;
Pancreatic Ducts;
Salmonella Infections;
Salmonella typhi*;
Salmonella*;
Typhoid Fever;
Ultrasonography
- From:Korean Journal of Medicine
1998;54(1):101-104
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Salmonella infection occurs in 5 different clinical forms; gasteroenteritis, enteric fever, bacteremia, chronic carried state and localization at one or more sites. Extraintestinal pyogenic infections caused by salmonella species include soft tissue abscesses, bone and joint infections, cholecystitis, liver abscess and splenic abscess etc. Pancreatic abscess due to Salmonella typhi is a very rare extraintestinal manifestation of salmonellosis. Infection pathways may be considered as reflux of infected bile through the pancreatic duct, hematogenous spread from a distant site or lymphatic spread from the intestinal tract. Treatment of pancreatic abscess needs surgical intervention and antibiotics therapy. We have experienced a case of a 40-years-old female with pancreatic abscess due to Salmonella typhi. She was treated with ultrasonography-guided catheter drainage and intravenous ceftriaxone for 18 days. After 14 days, the sonographic examination revealed the abscess cavity in pancreas almost disappeared. We report this case with review of literatures.
