Abstract
Background: The causative organism for enteric fever is Salmonella typhi, which has developed resistance to first-line antibiotics such as ampicillin, chloramphenicol, and TMP-SMX. Case Presentation: A 14-year-old boy presented to the emergency department with complaints of fever, chills, and rigors, as well as excessive sweating and LUQ abdominal pain, for a period of seven days. The boy also experienced vomiting and loose feces for three days. The abdominal examination revealed splenomegaly and LUQ tenderness. Salmonella typhi organism was isolated in blood cultures. Conclusions: Splenic vein thrombosis and infarction, a rare complication of S. Paratyphi infection, frequently cause discomfort in the left upper quadrant. In conjunction with supportive care, third-generation cephalosporins or quinolones are essential for effective treatment.
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