Salmonella Peritonitis Secondary to Gastroduodenal Perforation: An Unusual Presentation of Enteric Fever.

ABSTRACT

Salmonella-induced peritonitis, secondary to spontaneous gastrointestinal perforation, is a rare but potentially life-threatening condition. We present a case of a 62-year-old female with a history of systemic hypertension, who presented with diffuse abdominal pain and altered bowel habits. Initial evaluation suggested acute gastroenteritis, but worsening symptoms led to emergent exploratory laparotomy, revealing a gastric/duodenal perforation. Peritoneal fluid analysis and culture confirmed Salmonella Paratyphi A infection. The patient underwent an emergency laparotomy with omental patch repair and received intravenous ceftriaxone, leading to a full recovery. This case underscores the importance of considering Salmonella infection in the differential diagnosis of peritonitis, prompt surgical intervention, and appropriate antimicrobial therapy for optimal management and outcomes. Further research on epidemiological trends, host-pathogen interactions, and antibiotic resistance should be explored. Clinical studies should refine diagnostic criteria and treatment protocols, while animal models can aid in understanding pathophysiology and vaccine development for Salmonella peritonitis. Public health interventions and environmental studies will enhance prevention and control strategies.