To report a case of spontaneous splenic rupture (SSR) associated with paratyphoid A fever and review existing literature on this rare complication.
Approach:
Case Presentation: A 15-year-old male with a one-week history of high fever and sudden left upper quadrant abdominal pain was diagnosed with S. Paratyphi A infection. Imaging confirmed splenic rupture, revealing a subcapsular hematoma and peritoneal effusion. Nonoperative management was adopted, and the patient recovered uneventfully.
Key Findings:
SSR is a rare but life-threatening complication of both typhoid and paratyphoid fever.
Only a few cases of SSR associated with paratyphoid fever have been documented.
The patient in this case recovered uneventfully with nonoperative management.
Interpretation:
SSR should be considered in patients with suspected enteric fever, even in low-endemic settings.
Limitations:
The rarity of SSR in paratyphoid fever limits the available literature and clinical guidance, making it challenging to establish standardized management protocols.
Conclusion:
SSR is a critical complication of enteric fever that requires awareness and prompt diagnosis.
