typhoid splenic abscess: a case report and literature review

Introduction:typhoid splenic abscess is a rare clinical entity that can be fatal if left untreated. herein, we reported a case of typhoid splenic abscess who responded to ultrasoundguided aspiration and antibiotic therapy. case presentation:a 25yearold nepalese man with no significant medical history presented to the emergency department with fever and the left upper abdominal pain lasting for seven days. one month before his presentation to our hospital, he returned from an eightweek holiday in nepal. splenic abscess was diagnosed by abdomen ultrasound and enhancedcomputerized tomography. the patient refused surgical intervention and ultrasoundguided abscess aspiration was performed while piperacillintazobactam was initiated. blood and aspirated pus microscopy revealed gramnegative bacilli and the culture grew salmonella typhi, which was sensitive to piperacillintazobactam, ampicillin, ciprofloxacin, and ceftriaxone. piperacillintazobactam was continued for 4 weeks with successful recovery. conclusions:this case highlights the importance of considering typhoid splenic abscess in the differential of fever and abdominal pain in returning travelers.