Description
Acute systemic illness resulting from Salmonella typhi or Salmonella paratyphi infection.
Complications
• Intestinal perforation (0.5- 1%), Peritonitis and Intestinal hemorrhage (<1%)
• Presents as a sudden increase in abdominal pain with associated tachycardia, tachypnea, hypotension, hyperpyrexia and obtundation.
• Examination reveals marked abdominal tenderness with guarding, and subsequent abdominal rigidity.
• Urgent Plain –X-ray abdomen and consultation to surgery required.
• A rising white blood cell count with a left shift and free air on abdominal radiographs may be seen in such
cases.