Mesenteric adenitis caused by Salmonella enterica serovar enteritidis

Chien Chang Lee, Chan Ping Su, Shey Ying Chen, Shyr Chyr Chen, Wen Jone Chen

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)463-466
Number of pages4
JournalJournal of the Formosan Medical Association
Volume103
Issue number6
Publication statusPublished - Jun 1 2004
Externally publishedYes

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Keywords

  • Appendicitis
  • Case reports
  • Mesenteric lymphadenitis
  • Salmonella enteritidis

ASJC Scopus subject areas

  • Medicine(all)

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