Atypical Presentation of Typhoid Fever

Authors

  • Deepak Madi Department of Internal Medicine, Kasturba Medical College, (affiliated to Manipal University), Mangalore
  • Basavaprabhu Achappa Department of Internal Medicine, Kasturba Medical College, (affiliated to Manipal University), Mangalore
  • John T Ramapuram Department of Internal Medicine, Kasturba Medical College, (affiliated to Manipal University), Mangalore
  • Nithyananda Chowta Department of Internal Medicine, Kasturba Medical College, (affiliated to Manipal University), Mangalore
  • Mridula Laxman Department of Internal Medicine, Kasturba Medical College, (affiliated to Manipal University), Mangalore
  • Soundarya Mahalingam Department of Paediatrics, Kasturba Medical College, (affiliated to Manipal University), Mangalore

DOI:

https://doi.org/10.3126/ajms.v5i2.8584

Keywords:

Typhoid fever, Typhoid hepatitis, Thrombocytopenia, Jaundice

Abstract

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

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Published

2013-12-11

How to Cite

Madi, D., Achappa, B., Ramapuram, J. T., Chowta, N., Laxman, M., & Mahalingam, S. (2013). Atypical Presentation of Typhoid Fever. Asian Journal of Medical Sciences, 5(2), 140–142. https://doi.org/10.3126/ajms.v5i2.8584

Issue

Vol. 5 No. 2 (2014)

Section

Case Reports

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