Korean J Gastroenterol.
2000 Jun;35(6):801-805.
A Case of Icteric Typhoid Hepatitis Complicated with Splenic Infarction
Abstract
- Typhoid fever often manifests hepatic involvement. However, icteric typhoid hepatitis showing clinical features of acute hepatitis is uncommon. Splenic infarction is another uncommon complication of typhoid fever, and early recognition of this condition is important for a good prognosis. In this report, we present a case of Salmonella hepatitis complicated with splenic infarction. A 45- year-old man presented with fever, headache, abdominal pain, and palpable tender spleen. Typhoid hepatitis was diagnosed by blood culture, Widal test, and liver function test. Computed tomography of the abdomen demonstrated a splenic infarction. The patient was completely recovered with an intravenous ciprofloxacin and conservative management.
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