Profound Anemia in a Child Secondary to Salmonella Enteritis

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Salmonella can cause enteric or typhoid fever, enterocolitis, and focal infections. It causes 1.2 million foodborne illnesses in the United States each year, with the highest incidence in those <5 years old (1). The classic presentation includes nausea, vomiting, fever, diarrhea, and abdominal cramping, with an onset of 8 to 72 hours after ingestion of the contaminated source (2). Individuals can be asymptomatic or have mild-to-severe self-limited diarrhea. Significantly, bloody stools are rare (3). We report a toddler with a particularly severe course, complicated by hematochezia resulting in transfusion-dependent anemia.

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