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Case Reports in Pathology
Volume 2015 (2015), Article ID 745461, 3 pages
http://dx.doi.org/10.1155/2015/745461
Case Report

A Case of Typhoid Fever with Hepatic Granulomas and Enteritis

1Fairview Hospital, Cleveland, OH 44111, USA
2Internal Medicine Residency, Atlanta Medical Center, 303 Parkway Drive NE, Atlanta, GA 30312, USA
3Internal Medicine Residency Program, Fairview Hospital, Cleveland, OH 44111, USA

Received 16 November 2014; Accepted 12 January 2015

Academic Editor: Zsuzsa Schaff

Copyright © 2015 Shraddha Narechania et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The common histopathologic hepatic manifestations in patients infected with Salmonella include cloudy swelling and balloon degeneration with vacuolation of the hepatocytes and steatosis. Hepatic granulomas are a very rare finding, so far reported in very few cases. We report a 64-year-old patient with Salmonella enteritis who was found to have multiple 1.4 to 1.6 cm hypoechoic liver masses on ultrasound of the abdomen which on biopsy revealed hepatic granulomas. This case highlights the importance of keeping the differential diagnosis of Salmonella typhi (S. typhi) in mind in a patient with hepatic granulomas.