Abdominal Tenderness & Salmonella Typhi: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Abdominal Tenderness, Salmonella Typhi,

Negated

None

Unsure

None

Possible Causes

Salmonella Food Poisoning

Salmonella Typhi is shed and can be spread by both actively ill persons and latent carriers. [pritzkerlaw.com]

The physical exam will focus on signs of dehydration and abdominal tenderness, while blood tests, if necessary, may be used to help rule out other problems. [emedicinehealth.com]

The specific bacterial form causing this condition is called the Salmonella Typhi bacteria. What Causes Salmonella Food Poisoning? [epainassist.com]

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Typhoid Fever

Causes Typhoid is caused by the bacterium Salmonella Typhi. It is the most serious of the Salmonella infections. [rarediseases.org]

The germ that causes typhoid is a unique human strain of salmonella called Salmonella Typhi. Outbreaks are rare. [dph.georgia.gov]

Typhoid fever (enteric fever) is a multisystemic bacterial disease caused by salmonella typhi. [symptoma.com]

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Typhus

Both diseases contain the word ‘typhi’ in their official names. Rickettsia typhi is the proper name of typhus and it’s Salmonella typhi for typhoid. [passporthealthusa.com]

The antibiotic-resistant strain of Salmonella Typhi, the primary cause of typhoid, emerged within the last 30 years and may represent an ongoing, previously unrecognized epidemic [natureasia.com]

Serological tests for Salmonella enterica serovar Typhi, Borrelia recurrentis, Coxiella burnetii, Bartonella quintana, Francisella tularensis, and Anaplasma phagocytophilum [doi.org]

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Urinary Tract Infection

Enteric fever caused by Salmonella Typhi is a global public health problem. [ncbi.nlm.nih.gov]

Examination findings may include the following: Fever Tachycardia Flank pain/costovertebral angle tenderness Abdominal tenderness in the suprapubic area Scrotal hematoma, [emedicine.com]

We report a case of isolated urinary Salmonella enterica serotype Typhi in an HIV-positive man who has sex with men. [ncbi.nlm.nih.gov]

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Liver Abscess

Recurrent pyogenic cholangitis (associated with hepatolithiasis) due to Salmonella typhi may cause pyogenic liver abscess. [online.epocrates.com]

The cardiopulmonary examination was normal, no visceral enlargement was found but abdominal tenderness was present on examination of the epigastrium. [scielo.br]

Recurrent pyogenic cholangitis may be caused by Salmonella typhi. [enotes.tripod.com]

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Gallbladder Carcinoma

Deconstructing the epidemiological association between GBC and Salmonella Typhi infection, we show that Salmonella enterica induces malignant transformation in predisposed [ncbi.nlm.nih.gov]

Expression of host resistance to Salmonella typhi and Salmonella typhimurium: bacterial survival within macrophages of murine and human origin. Microb. [microbewiki.kenyon.edu]

Salmonella typhi ( 6% of carriers develop GBC: A 12-fold risk increase) and Helicobacter bilis have been implicated in GBC [19,29,45,54-59]. [medcraveonline.com]

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Gastric Ulcer

typhi. [ncbi.nlm.nih.gov]

RESULTS: Of the 183 patients, 57 who were treated conservatively had less abdominal tenderness, lower levels of serum C-reactive protein, and shorter time to presentation [ncbi.nlm.nih.gov]

Generalized abdominal tenderness, rebound tenderness, board-like abdominal wall rigidity, and hypoactive bowel sounds (clinical signs of peritonitis) may be masked in older [aafp.org]

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Splenic Abscess

Splenic abscesses caused by Salmonella typhi are a very rare complication of typhoid fever in this era of use of specific antibiotics. [ncbi.nlm.nih.gov]

LUQ) abdominal tenderness. [ncbi.nlm.nih.gov]

Splenic abscess due to Salmonella enterica Serotype typhi in a young adult. [oapublishinglondon.com]

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Pancreatitis

typhi, Strongyloides stercoralis, Yersinia enterocolitica Drugs: antiretroviral, azathioprine, estrogen, furosemide, methyldopa, pentamidine, procainamide, sulfa, thiazides [pathologyoutlines.com]

[…] rate, abdominal tenderness, and sometimes jaundice and even shock. [pancreatica.org]

Other viruses (Cytomegalovirus, Herpes simplex, Varicella-zoster, Hepatitis B), bacteria (Salmonella typhi, Leptospira, Legionella), fungi (Aspergillus) and parasites (Toxoplasma [intechopen.com]

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Acute Pyelonephritis

- Gastro-intestinal infections, including typhoid fever caused by Salmonella typhi. [caprifarmindo.com]

AND – Fever 38 C and unilateral flank pain or abdominal tenderness – Nausea and/or vomiting are common. [medicalguidelines.msf.org]

Other symptoms of pancreatitis may include: pain that wraps around the upper body and involves the back in a band-like pattern indigestion nausea or vomiting abdominal tenderness [healthline.com]

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Acute Cholecystitis

Taking into consideration that gallstones and chronic infection (especially by Salmonella typhi) are high-risk factors for GC, some scholars suggest that GA should be considered [ncbi.nlm.nih.gov]

On examination she had right mid-abdominal tenderness. Laboratory studies demonstrated leukocytosis with normal liver function tests. [ncbi.nlm.nih.gov]

Length of symptoms, gender and the degree of abdominal tenderness were not different between the groups. [sages.org]

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Biliary Peritonitis

AAC occurs in 2% of Salmonella typhi infections. Nontyphoidal salmonella (NTS) are rarely isolated from cases of acute cholecystitis [ 2 ]. [panafrican-med-journal.com]

Peritoneal signs (eg, abdominal tenderness and rebound) are present but may be somewhat diminished by the presence of ascitic fluid. [merckmanuals.com]

On physical exam, there is abdominal distension, diffuse abdominal tenderness to palpation, flank dullness, and a positive fluid wave. [medbullets.com]

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Abdominal Visceral Abscess

typhi or salmonella paratyphi in an endemic typhoid area. [wjes.biomedcentral.com]

Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass. [cdemcurriculum.com]

Because abdominal pain, abdominal tenderness, or hepatomegaly is present in only half of cases, many of these patients present with fever of undetermined origin. [what-when-how.com]

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Invasive Non-Typhoidal Salmonellosis

Salmonella Typhi transmission HUMAN restricted, fecal-oral route Developing countries Salmonella Typhi pathogenesis Invade SI, but usually without inflammation. [quizlet.com]

Symptoms and signs IP – 8-14 (14-21 days) Onset is usually gradual, with fever, headache, arthralgias, pharyngitis, constipation, anorexia, and abdominal pain and tenderness [slideshare.net]

Association between the acquired immunodeficiency syndrome and infection with Salmonella typhi or Salmonella paratyphi in an endemic typhoid area. [medscape.com]

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Salmonella Infection

We present a case of enteric fever in which both Salmonella Typhi and Salmonella Paratyphi A were isolated from the blood of a patient traveling from India. [ncbi.nlm.nih.gov]

You have severe abdominal pain. Your abdomen is tender and hard, or feels swollen. You have black or bright red bowel movements. You see blood in your vomit. [drugs.com]

Histopathology of the mass was suggestive of thymoma and culture from the necrotic aspirate yielded Salmonella typhi. [ncbi.nlm.nih.gov]

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Peritonitis

Once the peritonitis has occurred, the adjustment of antibiotic regimen to match the special sensitivity pattern of Salmonella typhi will likely improve overall outcome. [wjes.biomedcentral.com]

She had no abdominal tenderness, and exit site looked normal. Fluid was negative for Mycobacterium tuberculosis. [ncbi.nlm.nih.gov]

On physical exam, there is abdominal distension, diffuse abdominal tenderness to palpation, flank dullness, and a positive fluid wave. [medbullets.com]

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Toxic Megacolon

METHODS: During an 11-year period we reviewed the records of children treated for non-typhi Salmonella infection. [ncbi.nlm.nih.gov]

Abdominal pain Abdominal bloating Abdominal tenderness Fever Tachycardia (rapid heart rate) DehydrationThere may be signs of septic shock. [en.wikipedia.org]

Signs and symptoms Abdominal pain Abdominal bloating Abdominal tenderness Fever Tachycardia (rapid heart rate) Dehydration There may be signs of septic shock. [ipfs.io]

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Diverticulitis

typhi. [web.archive.org]

The usual symptoms of diverticulitis include: fever, lower abdominal pain, and lower abdominal tenderness. [uphs.upenn.edu]

tenderness. [diverticulitisinfo.com]

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Giardiasis

Typhi) More Resources Vaginitis More Resources Vancomycin-Resistant Enterococci (VRE) More Resources Vibrio parahaemolyticus More Resources West Nile Virus (WNV) Information [bccdc.ca]

Abdominal examination may reveal nonspecific tenderness. Unusual presentations: Rarely, it may present with complications (see 'Complications and prognosis', below). [patient.info]

Syphilis More Resources Tetanus More Resources Tick Paralysis Toxoplasmosis More Resources Trichomoniasis More Resources Tuberculosis Tularemia More Resources Typhoid Fever (Salmonella [bccdc.ca]

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Hantavirus Pulmonary Syndrome

[…] enterica serovar Typhi; paratyphoid fever, S. enterica serovars Paratyphi A, B, C) Fever, bacteremia, headache, lymphadenopathy, enlarged liver or spleen, encephalopathy, [nap.edu]

Physical examination revealed a tender chest, with crackles and diminished breath sounds in the lower lobes of the lungs, and a respiratory rate of 30. [jamanetwork.com]

Chronic meningitis and meningoencephalitis Very rare Yes (weeks to years) Eye involvement (including uveitis) Very rare Yes (weeks to years) Enteric fever (typhoid fever, Salmonella [nap.edu]

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Ileocecal Tuberculosis

It is caused by Salmonella enteritidis serovar typhi (S. typhi) 1,2 or by related but less virulent Salmonella paratyphi A. [appliedradiology.com]

The pain, when present, is usually greatest in the right lower abdominal quadrant. [pubs.rsna.org]

The systemic examination was unremarkable except for abdominal distension, and tenderness especially in right lower quadrant. [jpss.eu]

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Paratyphoid Fever

Of the total multi drug resistant Salmonella isolates, 92% were Salmonella typhi. [ncbi.nlm.nih.gov]

The major clinical features were fever (97%), abdominal tenderness (-9.4%), headache and abdominal pain (70.58%) each). [ncbi.nlm.nih.gov]

Abdominal distension with right lower quadrant tenderness and increased borborygmi. [patient.info]

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Testicular Abscess

It was only after pus culture and sensitivity report that Salmonella typhi was discovered to be the causative organism. [cjhr.org]

Abdominal examination revealed tenderness and rebound tenderness in the right lower quadrant of the abdomen. [casesjournal.biomedcentral.com]

Often painless and non-tender; there may be a dragging sensation. Pain is present in 20-30%. [patient.info]

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Typhlitis

Salmonella Species, Including Salmonella Typhi 225. Shigella Species (Bacillary Dysentery) 226. Haemophilus Species (Incluing H. Influenzae and Chancroid) 227. [euro-libris.ro]

Frequent symptoms were abdominal pain (91%), fever (84%), abdominal tenderness (82%), and diarrhea (72%). Twelve percent of the patients were not neutropenic. [ncbi.nlm.nih.gov]

We describe five cases of typhlitis, characterized by fever, abdominal pain, abdominal tenderness and watery diarrhea, occurring during periods of neutropenia. [ncbi.nlm.nih.gov]

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Cholecystitis

typhi - the typhoid gallbladder - or from Ascari lumbricoides - ascariasis total parenteral nutrition Reference: (1) Elwood DR. [gpnotebook.co.uk]

Residual abdominal tenderness may occur. Pain in the area of the gall bladder lasting more than three hours is characteristic of acute cholecystitis. [aafp.org]

typhi: associated with chronic carrier states Chronic active cholecystitis: with intraepithelial neutrophils Rokitansky-Aschoff sinuses: tubular structures present within [pathologyoutlines.com]

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Intestinal Perforation

BACKGROUND: Salmonella enterica serovar Typhi (Salmonella Typhi) causes an estimated 22 million typhoid fever cases and 216 000 deaths annually worldwide. [ncbi.nlm.nih.gov]

tenderness and guarding. [ncbi.nlm.nih.gov]

Physical examination revealed diffuse abdominal tenderness and bilious drainage from the nasogastric tube. [ncbi.nlm.nih.gov]

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Pancreatic Abscess

Isolated involvement of the pancreas in Salmonella typhi bacteraemia is rare. A case of pancreatic abscess due to S. typhi is reported which was managed conservatively. [ncbi.nlm.nih.gov]

Abdominal tenderness was absent in 40% of patients. [ncbi.nlm.nih.gov]

Pancreatic abscess caused by s. typhi. Indian J Med Microbiol 2001; 19:18-9. [PMID 17664800] Garg P, Parashar S. Pancreatic abscess due to Salmonella typhi. [pancreas.imedpub.com]

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Cholera

KEYWORDS: Ebola; Ebola virus; Ebola virus disease; Salmonella enterica serovar Typhi; Vibrio cholerae; bacteria; capacity; cholera; disease burden; emergencies; emergency [ncbi.nlm.nih.gov]

Highly plastic chromosomal organization in Salmonella typhi. Proc. Natl. Acad. Sci. USA 93 : 10303 –10308. Lyoda, S., A. Wada, J. Weller, S. J. A. Flood, E. [doi.org]

Typhi and Read more Dengue Dengue is an infection caused by the dengue virus of which there are four different subtypes. [travelhealthpro.org.uk]

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Tubo-Ovarian Abscess

We report a case of a tubo-ovarian abscess infected with Salmonella enterica serotype typhi A 19-year-old Nepalese woman presented to a hospital in Kathmandu with lower abdominal [ncbi.nlm.nih.gov]

All had lower abdominal tenderness and 9 (45%) had cervical motion or adnexal tenderness. [ncbi.nlm.nih.gov]

Abdominal exam shows mild bilateral lower abdominal tenderness without guarding, and speculum exam shows small amount of blood (patient is on her menses), as well as cervical [emdocs.net]

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Shigella Dysenteriae

This study evaluated the efficiency of removal of Salmonella typhi, Shigella dysenteriae, Vibrio cholerae and rotavirus from simulated hard water of high organic content and [iwaponline.com]

tenderness, distension, peritonitis or perforation. [ncbi.nlm.nih.gov]

Survival studies of 2 common foodborne pathogens, Salmonella enterica serovar Typhi and Shigella dysenteriae, in powdered infant formula have not been previously studied despite [ncbi.nlm.nih.gov]

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