Spontaneous splenic rupture in a patient with paratyphoid a fever: a case report and literature review - Report - MDSpire

Spontaneous splenic rupture in a patient with paratyphoid a fever: a case report and literature review

  • By

  • Fangwan Yang

  • Zhi Kou

  • Yin Zhang

  • Xiaohuan Wu

  • Yuyu Zhu

  • Man Chen

  • Hongmei Li

  • Shenghui Zhang

  • Shide Lin

  • Ying Li

  • July 3, 2026

  • 0 min

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Clinical Report: Spontaneous Rupture of the Spleen in Paratyphoid Fever

Background

Enteric fever, caused by Salmonella enterica serovars, remains a significant health issue, particularly in low- and middle-income countries. Complications such as spontaneous splenic rupture are rare but can be life-threatening. The incidence of enteric fever has declined in many regions, making early diagnosis of complications increasingly challenging.

Data Highlights

No numerical data or trial data available in the source material.

Key Findings

  • Spontaneous splenic rupture is a rare complication of enteric fever, particularly associated with Salmonella Typhi and Paratyphi.
  • Only six cases of SSR related to enteric fever have been documented in the literature, with a mortality rate of 33.3%.
  • The patient in this case report was successfully treated with nonoperative management.
  • Clinical vigilance for SSR should be maintained in patients with suspected enteric fever.
  • Splenic involvement in enteric fever typically presents as splenomegaly, with severe complications being rare.

Clinical Implications

Healthcare professionals should be aware of the potential for spontaneous splenic rupture in patients with enteric fever.

Conclusion

Spontaneous splenic rupture is a critical complication of enteric fever that requires clinical awareness.

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  6. Frontiers in Pediatrics — Commentary: A rare case report of Salmonella infection: severe necrotizing pneumonia with empyema in an immunocompetent child
  7. World Health Organization - Typhoid Fever Surveillance Standards
  8. Clinical Guidance for Typhoid Fever and Paratyphoid Fever | Typhoid Fever | CDC
  9. Spontaneous Splenic Ruptures: A Contemporary Systematic Review - ScienceDirect
  10. Frontiers | Spontaneous splenic rupture: a case report and literature review
  11. Grading Abdominal Trauma: Changes in and Implications of the Revised 2018 AAST-OIS for the Spleen, Liver, and Kidney | RadioGraphics
  12. Spontaneous spleen rupture during typhoid fever - PubMed
  13. Frontiers | Spontaneous splenic rupture associated with Q fever and portal hypertension: A case report

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