scholarly journals Atypical Presentation of Typhoid Fever

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

2006 ◽  
Vol 38 (3) ◽  
pp. 196-200 ◽  
Author(s):  
Chung-Hsu Lai ◽  
Chun-Kai Huang ◽  
Chuen Chin ◽  
Hsi-Hsun Lin ◽  
Chih-Yu Chi ◽  
...  

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.


2014 ◽  
Vol 3 (1) ◽  
pp. 20
Author(s):  
Bassem Merhi ◽  
Nabil Daoud ◽  
Aya Assaf ◽  
Raymond Kamel ◽  
Mariam Rajab

1992 ◽  
Vol 2 (05) ◽  
pp. 301-303 ◽  
Author(s):  
A. Yulevich ◽  
Z. Cohen ◽  
E. Maor ◽  
T. Bryk ◽  
A. Mares

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Riyadi Adrizain ◽  
Aprimadhansari ◽  
Vita Indriasari ◽  
Dikki Drajat Kusmayadi ◽  
Djatnika Setiabudi

ABSTRACT Amebiasis is caused by the protozoan Entamoeba histolytica. Extraintestinal amebiasis manifestation includes liver abscess and other rare manifestations involving the lungs, heart and brain. Liver abscess is the most common extraintestinal manifestation. Only few cases of amebic splenic abscess and two cases of gall bladder abscess have been reported. Typhoid fever is an infection caused by Salmonella typhi. It can cause extraintestinal complications such as myocarditis, endocarditis, pneumonia, empyema, osteomyelitis, arthritis, cholecystitis, spleen abscess and liver abscess. Choledocal cyst is a congenital dilation of the biliary branch. If left untreated, it can cause morbidity from cholangitis, cyst perforation, liver failure and malignancy. Until now, there is no publication about double infection of amebic and salmonella infection in a child with choledocal cyst.


1970 ◽  
Vol 31 (3) ◽  
pp. 63-65
Author(s):  
N. S. Khatri ◽  
S. Koirala ◽  
A. Arjyal ◽  
P. Maskey ◽  
S. Poudel ◽  
...  

Salmonella Typhi is a causative agent of enteric fever, which is an ongoing public health problem in urban areas of the Kathmandu valley in Nepal. It is estimated that approximately 5 % of people in an endemic enteric fever area may asymptomatically carry Salmonella Typhi in the gall bladder. Here we describe a rare clinical manifestation of chronic Salmonella carriage. A 40 year old male resident of Kathmandu underwent an emergency cholecystectomy for acute cholecystitis and gall bladder perforation. No stone was identified but Salmonella Typhi was cultured from the gall bladder. Key Words: Acalculous cholecystitis, perforation, Salmonella Typhi. DOI: 10.3126/joim.v31i3.3002 Journal of Institute of Medicine, December, 2009; 31(3)63-65


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hatice Beyazal Polat ◽  
Mehmet Beyazal ◽  
Fatma Beyazal Çeliker

Acute acalculous cholecystitis and acute hemorrhagic cystitis due to Salmonella Typhi are a rare condition. A 24-year-old female patient was admitted to our clinic with abdominal pain, nausea, fever, headache, urinary burning, and bloody urine. Based on clinical, laboratory, and radiological evaluations, the patient was diagnosed with acute acalculous cholecystitis and acute hemorrhagic cystitis due to Salmonella Typhi. The patient was treated with intravenous ceftriaxone for two weeks. After the treatment, the patient's clinical and laboratory findings improved. Acute acalculous cholecystitis due to Salmonella Typhi concomitant with acute hemorrhagic cystitis is very rare and might be difficult to diagnose. Infectious agents such as Salmonella Typhi should be considered when acute acalculous cholecystitis and acute hemorrhagic cystitis are detected in adult patients with no underlying diseases.


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