title: Salmonella cholecystitis: atypical presentation of a typical condition.
abstract: Salmonella cholecystitis is a rare but important complication of Salmonella typhi infection. We are reporting an 11 years old female child who presented with complaints of high-grade fever, jaundice and right sided abdominal pain (Charcot's triad). Her examination showed tender hepatomegaly. Initial blood results revealed high white cell counts with left shift, deranged liver function tests. Abdominal ultrasonography revealed distended gallbladder with minimal layer of sludge seen within its lumen along with streak of pericholecystic fluid. Blood culture grew Salmonella typhi. She was successfully treated with intravenous ceftriaxone.
authors.affiliation: Department of Paediatrics and Child Health, The Aga Khan University Hospital, Karachi.
authors.forename: Rehan
authors.initials: R
authors.lastname: Ali
authors.forename: Shakeel
authors.initials: S
authors.lastname: Ahmed
authors.forename: Maqbool
authors.initials: M
authors.lastname: Qadir
authors.forename: Huba
authors.initials: H
authors.lastname: Atiq
authors.forename: Muhammad
authors.initials: M
authors.lastname: Hamid
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002764:Cholecystitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging; D006529:Hepatomegaly / Q000000981:diagnostic imaging; D006801:Humans; D008111:Liver Function Tests; D012480:Salmonella Infections / Q000000981:diagnostic imaging / Q000209:etiology*; D012485:Salmonella typhi / Q000302:isolation & purification*; D016896:Treatment Outcome; D014435:Typhoid Fever / Q000150:complications* / Q000382:microbiology; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone