ArticleFrontiers in medicine2026
Spontaneous splenic rupture in a patient with paratyphoid a fever: a case report and literature review.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Enteric fever, including both typhoid and paratyphoid fevers, is associated with a significant burden of morbidity and mortality in high-epidemic countries. However, as its incidence has declined in most countries, early diagnosis of its complications has become a clinical challenge. Spontaneous splenic rupture (SSR) is a rare but dangerous complication of typhoid fever, and its occurrence in patients with paratyphoid fever remains poorly understood. We report a case of SSR associated with paratyphoid A fever and briefly review the literature. Case presentation: A 15-year-old male presented with a one-week history of high fever and fatigue complicated by sudden onset of left upper quadrant abdominal pain for 2 days. Physical examination revealed diffuse abdominal tenderness without rigidity; laboratory studies showed leukocytosis and markedly elevated inflammatory markers. Blood cultures revealed Conclusion: SSR is a rare but life-threatening complication of both typhoid fever and paratyphoid fever. Clinical vigilance for this complication should be maintained in patients with suspected enteric fever, even in low-endemic settings.
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