Splenic Infarction Rare Complication of XDR Enteric Fever; Case Report

Background: The emergence and rapid spread of extensively drug-resistant salmonella typhi is an alarming situation. It can present with different complications including intestinal perforation, bone marrow suppression and encephalopathy. Splenic infarction is a rare complication of XDR enteric fever. It is characterized by abdominal pain, nausea and vomiting.

Case Description: We present a case of young male with XDR Enteric Fever having persistent left hypochondrial pain was diagnosed to have splenic infarction that were identified on abdominal imaging (CT abdomen ). Salmonella typhi XDR was isolated from the patient’s blood and bone marrow cultures.

Conclusion: Splenic infarction is a rare complication of XDR enteric fever. Patient with XDR enteric fever presenting with persistent abdominal pain could be due to splenic infarction in addition to other complications of enteric fever. High index of suspicion is required to diagnose such rare complication.