A Case of Typhoid Fever with Hepatic Granulomas and Enteritis

The common histopathologic hepatic manifestations in patients infected with Salmonella include cloudy swelling and balloon degeneration with vacuolation of the hepatocytes and steatosis. Hepatic granulomas are a very rare finding, so far reported in very few cases. We report a 64-year-old patient wi...

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Main Authors: Shraddha Narechania, Marc Duran, Vidhya Karivedu, K. V. Gopalakrishna
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2015/745461
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author Shraddha Narechania
Marc Duran
Vidhya Karivedu
K. V. Gopalakrishna
author_facet Shraddha Narechania
Marc Duran
Vidhya Karivedu
K. V. Gopalakrishna
author_sort Shraddha Narechania
collection DOAJ
description The common histopathologic hepatic manifestations in patients infected with Salmonella include cloudy swelling and balloon degeneration with vacuolation of the hepatocytes and steatosis. Hepatic granulomas are a very rare finding, so far reported in very few cases. We report a 64-year-old patient with Salmonella enteritis who was found to have multiple 1.4 to 1.6 cm hypoechoic liver masses on ultrasound of the abdomen which on biopsy revealed hepatic granulomas. This case highlights the importance of keeping the differential diagnosis of Salmonella typhi (S. typhi) in mind in a patient with hepatic granulomas.
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institution Kabale University
issn 2090-6781
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Pathology
spelling doaj-art-08f4c48531ab4590890f43c883b43e862025-02-03T05:50:20ZengWileyCase Reports in Pathology2090-67812090-679X2015-01-01201510.1155/2015/745461745461A Case of Typhoid Fever with Hepatic Granulomas and EnteritisShraddha Narechania0Marc Duran1Vidhya Karivedu2K. V. Gopalakrishna3Fairview Hospital, Cleveland, OH 44111, USAInternal Medicine Residency, Atlanta Medical Center, 303 Parkway Drive NE, Atlanta, GA 30312, USAFairview Hospital, Cleveland, OH 44111, USAInternal Medicine Residency Program, Fairview Hospital, Cleveland, OH 44111, USAThe common histopathologic hepatic manifestations in patients infected with Salmonella include cloudy swelling and balloon degeneration with vacuolation of the hepatocytes and steatosis. Hepatic granulomas are a very rare finding, so far reported in very few cases. We report a 64-year-old patient with Salmonella enteritis who was found to have multiple 1.4 to 1.6 cm hypoechoic liver masses on ultrasound of the abdomen which on biopsy revealed hepatic granulomas. This case highlights the importance of keeping the differential diagnosis of Salmonella typhi (S. typhi) in mind in a patient with hepatic granulomas.http://dx.doi.org/10.1155/2015/745461
spellingShingle Shraddha Narechania
Marc Duran
Vidhya Karivedu
K. V. Gopalakrishna
A Case of Typhoid Fever with Hepatic Granulomas and Enteritis
Case Reports in Pathology
title A Case of Typhoid Fever with Hepatic Granulomas and Enteritis
title_full A Case of Typhoid Fever with Hepatic Granulomas and Enteritis
title_fullStr A Case of Typhoid Fever with Hepatic Granulomas and Enteritis
title_full_unstemmed A Case of Typhoid Fever with Hepatic Granulomas and Enteritis
title_short A Case of Typhoid Fever with Hepatic Granulomas and Enteritis
title_sort case of typhoid fever with hepatic granulomas and enteritis
url http://dx.doi.org/10.1155/2015/745461
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