An unusual case of Salmonella enterica subtype Typhi causing pneumonia, synpneumonic effusion, and septic shock in an immunocompetent pregnant patient

An unusual case of Salmonella enterica subtype Typhi causing pneumonia, synpneumonic effusion, and septic shock in an immunocompetent pregnant patient: Arun Agarwal, Pooja Parab, Madan Mohan Sharma



The Journal of Association of Chest Physicians 2020 8(1):33-36



Salmonellosis may present with varying clinical manifestations ranging from fever, malaise, abdominal discomfort, and gastroenteritis to nonspecific symptoms related to febrile syndromes. Pneumonia, however, is an atypical site for Salmonellosis. More severe infections can invade into the blood stream and cause bacteremia with the possibility of disseminated focal infection. We report a case of a 29-year old pregnant immunocompetent patient with atypical extraintestinal symptoms in the first week of typhoid illness. She presented with high-grade fever with chills, dry cough, and breathlessness developing extensive lobar pneumonia along with synpneumonic effusion and shock. Her blood culture was positive for Salmonella enterica serotype Typhi. She was diagnosed with community-acquired pneumonia with pleural effusion due to Salmonella enterica serotype Typhi without any gastrointestinal symptoms.