International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Severe Acute Appendicitis Following Salmonella typhi Infection in a 10-Year-Old Male Child: An Under-Recognized Pediatric Association

Author(s) Ms. Tabish Aliya Khan
Country India
Abstract Background: Typhoid fever remains a major public health concern in developing countries, particularly in pediatric populations due to unsafe drinking water, inadequate sanitation, overcrowding, and limited vaccination coverage. Children are more vulnerable to enteric fever and its complications because of immature immunity and higher exposure risk. Although gastrointestinal manifestations such as abdominal pain, diarrhea, and constipation are common, acute appendicitis secondary to Salmonella typhi infection is rarely recognized and frequently misdiagnosed due to overlapping clinical features.
Case Presentation: We present a detailed case of a 10-year-old male child with laboratory-confirmed typhoid fever who subsequently developed severe acute appendicitis. Persistent high-grade fever and progressive localization of abdominal pain to the right lower quadrant prompted further diagnostic evaluation. Ultrasonography revealed classical features of acute appendicitis, and emergency appendectomy was performed. The child showed complete clinical recovery following combined medical and surgical management.
Results: Early identification of evolving localized abdominal pathology, timely radiological assessment, and prompt surgical intervention resulted in an uneventful postoperative course and prevention of complications such as perforation and peritonitis.
Conclusion: Acute appendicitis shall be considered an important yet under-recognized complication of typhoid fever in children presenting with persistent or localized abdominal pain. Increased awareness and early imaging can significantly reduce morbidity and improve outcomes in endemic regions
Keywords Acute appendicitis, Typhoid fever, Salmonella typhi, Pediatric infection, Acute abdomen
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-01-13
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.66472
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E-ISSN 2582-2160
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