Samreen Ashraf, Shadab Masood, Noor-ul Ain, Sobia Qamar, Ahmed Imran, Junaid Rashid.
Splenic Infarcts in an 8-Years-Old; a Rare Presentation of Extensively Drug Resistant (XDR) Enteric Fever.
Pak Paed J Jan ;46(1):93-6.

It is extremely rare to see splenic infarction as a complication of extensively drug resistant (XDR) enteric fever. We present a case of 8-years-old boy who presented with high grade fever and pain in left hypochondrium for 3 weeks. Blood culture obtained at the time of admission turned out to be positive for XDR Salmonella typhi sensitive only to azithromycin. Ultrasonography and CT-abdomen revealed multiple splenic infarcts. Other possible causes of splenic infarct were ruled out and patient responded to antibiotics with complete resolution of symptoms and infarcts after 14 days of antibiotics. The diagnosis of splenic infarcts should be considered in any child with XDR enteric fever who has associated left upper hypochondrium pain with/without vomiting.

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