Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation
This case report describes a 12-year-old boy who presented with high-grade fever, joint pain, abdominal pain, and general weakness. The Widal test showed positive results with ‘O’ and ‘H’ antibody titers of 1:320. Additionally, the blood culture report confirmed the growth of <i>Salmonella typ...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2023-09-01
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| Series: | Pediatric Infectious Disease |
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| Online Access: | https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1400 |
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| author | Ravi Chirag Bharath Jayachandra Thirunavukkarasu Arun Babu |
| author_facet | Ravi Chirag Bharath Jayachandra Thirunavukkarasu Arun Babu |
| author_sort | Ravi Chirag |
| collection | DOAJ |
| description | This case report describes a 12-year-old boy who presented with high-grade fever, joint pain, abdominal pain, and general weakness. The Widal test showed positive results with ‘O’ and ‘H’ antibody titers of 1:320. Additionally, the blood culture report confirmed the growth of <i>Salmonella typhi</i>, leading to the diagnosis of enteric fever. An abdominal ultrasound (USG) was performed due to severe abdominal pain, revealing the presence of multiple discrete necrotic lymph nodes in the right subhepatic and right iliac fossa, with the largest node measuring 1.6 cm. The child was treated with ceftriaxone (1 gm twice daily) and azithromycin (20 mg/kg), resulting in a gradual improvement of symptoms. To the best of our knowledge, this is the first reported case of necrotic lymphadenopathy in enteric fever confirmed by abdominal imaging in the pediatric population. |
| format | Article |
| id | doaj-art-4da5dc732cd149a88abcb7d0b00bbf16 |
| institution | Kabale University |
| issn | 2582-4988 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Pediatric Infectious Disease |
| spelling | doaj-art-4da5dc732cd149a88abcb7d0b00bbf162025-08-20T04:02:09ZengJaypee Brothers Medical PublisherPediatric Infectious Disease2582-49882023-09-015310010110.5005/jp-journals-10081-14006Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon PresentationRavi Chirag0Bharath Jayachandra1Thirunavukkarasu Arun Babu2Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, IndiaDepartment of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, IndiaThirunavukkarasu Arun Babu, Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India, Phone: + 91 9944701700This case report describes a 12-year-old boy who presented with high-grade fever, joint pain, abdominal pain, and general weakness. The Widal test showed positive results with ‘O’ and ‘H’ antibody titers of 1:320. Additionally, the blood culture report confirmed the growth of <i>Salmonella typhi</i>, leading to the diagnosis of enteric fever. An abdominal ultrasound (USG) was performed due to severe abdominal pain, revealing the presence of multiple discrete necrotic lymph nodes in the right subhepatic and right iliac fossa, with the largest node measuring 1.6 cm. The child was treated with ceftriaxone (1 gm twice daily) and azithromycin (20 mg/kg), resulting in a gradual improvement of symptoms. To the best of our knowledge, this is the first reported case of necrotic lymphadenopathy in enteric fever confirmed by abdominal imaging in the pediatric population.https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1400case reportenteric feverlymphadenopathynecroticpediatric<i>salmonella</i> |
| spellingShingle | Ravi Chirag Bharath Jayachandra Thirunavukkarasu Arun Babu Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation Pediatric Infectious Disease case report enteric fever lymphadenopathy necrotic pediatric <i>salmonella</i> |
| title | Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation |
| title_full | Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation |
| title_fullStr | Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation |
| title_full_unstemmed | Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation |
| title_short | Necrotic Lymphadenopathy in a 12-year-old Boy with Enteric Fever: An Uncommon Presentation |
| title_sort | necrotic lymphadenopathy in a 12 year old boy with enteric fever an uncommon presentation |
| topic | case report enteric fever lymphadenopathy necrotic pediatric <i>salmonella</i> |
| url | https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1400 |
| work_keys_str_mv | AT ravichirag necroticlymphadenopathyina12yearoldboywithentericfeveranuncommonpresentation AT bharathjayachandra necroticlymphadenopathyina12yearoldboywithentericfeveranuncommonpresentation AT thirunavukkarasuarunbabu necroticlymphadenopathyina12yearoldboywithentericfeveranuncommonpresentation |