Splenic Infarction: An Unusual Complication of Salmonella Infection

Splenic infarction is an uncommon diagnosis, often overlooked due to its non-specific clinical presentation. While a splenic abscess is common, infarction due to infective processes is rare. Among infections, <i>Salmonella</i> is infrequently implicated, and splenic infarct secondary to typhoid or paratyphoid fever is exceptionally rare. We report the case of a young adult man who presented with acute fever and pain in the abdomen and was subsequently diagnosed with splenic infarction. A meticulous diagnostic workup excluded common causes such as infective endocarditis, hematological malignancies, hypercoagulable states, and sickle cell disorder, ultimately identifying non-lactose fermenting colonies positive for <i>Salmonella paratyphi A</i> as the etiology. Recognition of such atypical abdominal complications of typhoid is essential in endemic areas to prevent missed diagnosis and optimize management.