Profound Anemia in a Child Secondary to Salmonella Enteritis
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.