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Acute acalculous cholecystitis: A rare presentation of typhoid fever in adults.
Scand J Infect Dis. 2006; 38(3):196-200.SJ

Abstract

Adult typhoidal acute acalculous cholecystitis is rare with only 2 cases having been reported in the English literature. We present the case of a previously healthy 36-y-old female who suffered fever, chills, epigastralgia and progressive jaundice for 3 d, with acute acalculous cholecystitis subsequently diagnosed. In addition to antibiotic therapy with ceftriaxone, open cholecystectomy was performed. However, bile and blood culture both showed Salmonella typhi growth unexpectedly, and ileocolitis was revealed by colonoscopy. Careful tracing of the history of the patient recalled a history of travel to Indonesia. In adults without common risk factors for acalculous cholecystitis, a detailed history including travel to endemic areas and high index of suspicion for typhoidal acute acalculous cholecystitis are important, and appropriate antimicrobial therapy for covering Salmonella typhi should be considered.

Authors+Show Affiliations

Department of Infectious Disease, E-Da Hospital/I-Shou University, Kaohsiung County, Taiwan, Republic of China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

16500779

Citation

Lai, Chung-Hsu, et al. "Acute Acalculous Cholecystitis: a Rare Presentation of Typhoid Fever in Adults." Scandinavian Journal of Infectious Diseases, vol. 38, no. 3, 2006, pp. 196-200.
Lai CH, Huang CK, Chin C, et al. Acute acalculous cholecystitis: A rare presentation of typhoid fever in adults. Scand J Infect Dis. 2006;38(3):196-200.
Lai, C. H., Huang, C. K., Chin, C., Lin, H. H., Chi, C. Y., & Chen, H. P. (2006). Acute acalculous cholecystitis: A rare presentation of typhoid fever in adults. Scandinavian Journal of Infectious Diseases, 38(3), 196-200.
Lai CH, et al. Acute Acalculous Cholecystitis: a Rare Presentation of Typhoid Fever in Adults. Scand J Infect Dis. 2006;38(3):196-200. PubMed PMID: 16500779.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute acalculous cholecystitis: A rare presentation of typhoid fever in adults. AU - Lai,Chung-Hsu, AU - Huang,Chun-Kai, AU - Chin,Chuen, AU - Lin,Hsi-Hsun, AU - Chi,Chih-Yu, AU - Chen,Hsin-Pai, PY - 2006/2/28/pubmed PY - 2006/5/11/medline PY - 2006/2/28/entrez SP - 196 EP - 200 JF - Scandinavian journal of infectious diseases JO - Scand J Infect Dis VL - 38 IS - 3 N2 - Adult typhoidal acute acalculous cholecystitis is rare with only 2 cases having been reported in the English literature. We present the case of a previously healthy 36-y-old female who suffered fever, chills, epigastralgia and progressive jaundice for 3 d, with acute acalculous cholecystitis subsequently diagnosed. In addition to antibiotic therapy with ceftriaxone, open cholecystectomy was performed. However, bile and blood culture both showed Salmonella typhi growth unexpectedly, and ileocolitis was revealed by colonoscopy. Careful tracing of the history of the patient recalled a history of travel to Indonesia. In adults without common risk factors for acalculous cholecystitis, a detailed history including travel to endemic areas and high index of suspicion for typhoidal acute acalculous cholecystitis are important, and appropriate antimicrobial therapy for covering Salmonella typhi should be considered. SN - 0036-5548 UR - https://www.unboundmedicine.com/medline/citation/16500779/Acute_acalculous_cholecystitis:_A_rare_presentation_of_typhoid_fever_in_adults_ L2 - https://www.tandfonline.com/doi/full/10.1080/00365540500372655 DB - PRIME DP - Unbound Medicine ER -