Mesenteric adenitis caused by Salmonella enterica serovar enteritidis
Journal
Journal of the Formosan Medical Association
Journal Volume
103
Journal Issue
6
Pages
463-466
Date Issued
2004
Author(s)
Abstract
Mesenteric adenitis is a self-limited condition characterized by fever, localized right lower quadrant abdominal pain, and frequent leukocytosis, making it difficult to differentiate from appendicitis. We report a case of mesenteric adenitis in, an 8-year-old boy who presented at the emergency department with right lower quadrant abdominal pain, diarrhea, and fever up to 46°C. Acute appendicitis was initially suspected, but further abdominal ultrasound and contrast enhanced computed tomography studies showed a normal appendix with marked mesenteric adenopathy. Symptomatic treatment was given and pain and fever subsided 2 days later. Follow-up sonography showed resolution of adenopathy, confirming the diagnosis of mesenteric adenitis. The admission stool cultures grew Salmonella enterica serovar Enteritidis (S. Enteritidis). Unlike previous reports in western countries where Yersinia species prevails and was thought to be self-limited, S. Enteritidis carries potential risk for serious systemic complications, such as meningitis or septic arthritis. The isolation of this unusual microbiological species thus has both therapeutic and epidemiological implications for mesenteric adenitis in Taiwan.
SDGs
Other Subjects
antipyretic agent; oral rehydration solution; paracetamol; abdominal pain; acute appendicitis; appendix; article; bacterium isolation; case report; computer assisted tomography; diagnostic accuracy; diarrhea; differential diagnosis; echography; emergency ward; feces culture; fever; human; infection risk; male; mesenteric lymphadenitis; Salmonella enterica; Salmonella enteritidis; school child; serotype; Taiwan; child; isolation and purification; mesenteric lymphadenitis; microbiology; salmonellosis; Child; Diagnosis, Differential; Humans; Male; Mesenteric Lymphadenitis; Salmonella enteritidis; Salmonella Infections
Type
journal article