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Hepatic abscess caused by Salmonella typhi.

Liver function test during the second week revealed: total bilirubin; 0.4 mg/dL, AST; 174 IU/L, ALT; 112 IU/L, alkaline phosphatase; 294 mg/dL. Widal test result in the first week were: somatic O antigen (To) = 50, flagellar antigen of serotype Typhie (TH):>800, flagellar antigen of serotype Paratyphi A (AH) <50, BH <50 and in the second week To = 100, TH >800, AH <50; BH <50. Amebic sero-conversion observed during second week of illness and was negative thereafter. The abscess aspirate was reddish brown and on direct examination revealed multiple pus cells but no pathogens. Culture yielded S. typhi. The abscess became sterile on day fourteen. The bacterium was not isolated from any other sample from the patient. During the hospital stay the patient remained an-icteric. Epigastric tenderness and guarding disappeared after ten days; he became afebrile after twenty-four days of hospitalization and was discharged after six weeks. Thereafter, the patient remained asymptomatic during follow up.