scholarly journals Acute sensorineural hearing loss as atypical presentation of typhoid fever in adult patient

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095854
Author(s):  
Khaled Al Khodari ◽  
Tehniyat Baig ◽  
Mohammad Husni Alkhateeb ◽  
Muhammad Naeem

Salmonella Typhi is the main cause of an acute febrile, sometimes fatal, multisystemic illness called typhoid fever. The diverse presentations of this disease make it a diagnostic challenge in some patients. Involvement of the neurological system, including cochleovestibular system, is very rare with less than a handful of reported cases. This case report describes the condition of a previously healthy 23-year-old Pakistani man with acute onset of hearing loss associated with fever, headache, and disorientation. The most likely differential diagnoses were bacterial or viral meningoencephalitis, and other bacterial infections, such as Rickettsial and spirochetal diseases. Salmonella Typhi grew on blood culture; thus, treatment with intravenous antibiotics and systemic steroids was provided with excellent response. Hearing loss gradually improved and almost completely resolved within 3 to 4 weeks.

2021 ◽  
Vol 32 (2) ◽  
pp. 142-144
Author(s):  
Abdul Basit Ibne Momen ◽  
Furial Quraishi Twinkle ◽  
Aminur Rahman ◽  
Firoz Ahmed Quraishi

Guillain-Barre syndrome (GBS) following typhoid is extremely uncommon and only few case reports are available in literature. The importance of this case report is to highlight upon the fact that a diagnosis of GBS should always be kept in mind whenever a patient of typhoid fever develops weakness. We report a young girl with blood culture proven typhoid fever that developed this very rare neurological complication quite early in the course of the disease. Following treatment with intravenous antibiotics and intravenous immunoglobulin, she was improved. Bangladesh J Medicine July 2021; 32(2) : 142-144


2021 ◽  
pp. 20210033
Author(s):  
Poonamjeet Loyal ◽  
Samuel Gitau ◽  
Soraiya Manji ◽  
Sitna Mwanzi ◽  
John Weru

Hepatocellular carcinoma (HCC) is the most common primary cancer of the liver and a major cause of mortality globally. Atypical presentation of HCC can present a diagnostic challenge. We, therefore, present a rare case of hepatocellular carcinoma fungating through the anterior abdominal wall with concomitant lung and brain metastases in a young patient with non-cirrhotic liver but positive chronic hepatitis B serology.


2015 ◽  
Vol 9 (09) ◽  
pp. 1033-1035 ◽  
Author(s):  
Rangan Srinivasaraghavan ◽  
Parameswaran Narayanan ◽  
Thandapani Kanimozhi

Infectious diseases are one of the major causes of morbidity and mortality in developing countries. Sometimes concurrent infections with multiple infectious agents may occur in one patient, which make the diagnosis and management a challenging task. The authors here present a case of co-infection of typhoid fever with dengue fever in a ten-year-old child and discuss the pertinent issues. The authors emphasize that the risk factors predicting the presence of such co-infections, if developed, will be immensely useful in areas where dengue outbreak occurs in the background of high transmission of endemic infections.


2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Kavitha Muniraj ◽  
Somanath Padhi ◽  
Manjiri Phansalkar ◽  
Periyasami Sivakumar ◽  
Renu G’Boy Varghese ◽  
...  

Typhoid fever is one of the few bacterial infections in humans where bone marrow evaluation is routinely recommended. However, the morphological aspect of typhoid fever in bone marrow has been rarely described in the literature. We describe a 25-year-old male patient who presented with prolonged fever suspected to be of tubercular etiology. Bone marrow examination showed well-formed histiocytic and epithelioid granulomas and erythrophagocytosis; and the bone marrow aspirate culture grewSalmonella typhiA. In view of potential clinical implications, typhoid fever should be considered as a differential diagnosis to tuberculosis in the evaluation of prolonged fever; especially in high prevalent areas. We suggest that erythrophagocytosis may serve as a morphological marker in typhoid granulomas in the bone marrow; and bone marrow culture should be submitted in every suspected case for appropriate patient management.


Author(s):  
S. Aarifaa ◽  
Kaliannan Mayilananthi ◽  
Durga Krishnan ◽  
V. R. Mohan Rao ◽  
Praveen Srinivas

Typhoid fever is an endemic infection in developing countries like India. Oral manifestations of enteric fever and typhoid tonsillitis have rarely been reported in the literature.   We report a 20 year old male, showing tonsillitis to be an integral part of clinical presentation of typhoid fever.The patient presented with fever, throat pain and oral ulcers. Blood culture and swab from tonsils showed significant growth of Salmonella typhi.This case report adds light to tonsillitis as a rare clinical manifestation of typhoid fever.


2003 ◽  
Vol 21 (3) ◽  
pp. 211-212
Author(s):  
K Jayakumar ◽  
B Appalaraju ◽  
VK Govindan

2013 ◽  
Vol 5 (2) ◽  
pp. 140-142
Author(s):  
Deepak Madi ◽  
Basavaprabhu Achappa ◽  
John T Ramapuram ◽  
Nithyananda Chowta ◽  
Mridula Laxman ◽  
...  

The classical presentation of typhoid has changed over the years. Atypical presentation of typhoid is now seen in clinical practice. Entericfever can present with atypical manifestations like abdominal lymphadenopathy, acute acalculous cholecystitis, osteomyelitis, splenic abscess and Pneumonia. Jaundice splenic abscess and thrombocytopenia in a febrile patient in the tropics is commonly due to Malaria, Leptospirosis and Dengue. We report a case of typhoid fever presenting with jaundice and thrombocytopenia. A 17 year old male presented to us with history of fever and jaundice. Investigations revealed thrombocytopenia and conjugated hyperbilirubinemia. Blood culture grew Salmonella Typhi. He was treated with ceftriaxone and he improved. A diagnosis of typhoid fever must be considered in a febrile patient with jaundice and thrombocytopenia in the tropics. DOI: http://dx.doi.org/10.3126/ajms.v5i2.8584   Asian Journal of Medical Science, Volume-5(2) 2014: 140-142


Author(s):  
Siya Ram Didel ◽  
Harsimran Tiwana ◽  
Piyush Mittal ◽  
Devi Dayal ◽  
Sandeep Bansal

Typhoid fever is a systemic febrile disease caused by Salmonella typhi and may lead to involvement of virtually any organ system in the body. Cochleovestibular involvement resulting in acute sensorineural hearing loss (SNHL) has been reported as a rare complication and may result in permanent deafness. We describe here a child who developed moderate but reversible SNHL associated with typhoid fever.


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