Typhus fever: an overlooked diagnosis.
A case of typhus fever is presented. On admission, the clinical diagnosis was typhoid fever. Forty-eight hours after admission, the presence of subconjunctival haemorrhage, malena, and jaundice raised the possibility of a different aetiology, the two most likely differentials being dengue and typhus. Finally, a co-infection of typhoid and typhus was discovered. This uncommon clinical scenario should be taken into account in the management of patients with high fever on admission being treated as a case of typhoid fever.
Mazumder
Ramendra N
RN
Dhaka Hospital, Dhaka, Bangladesh.
Pietroni
Mark A C
MA
Mosabbir
Nadira
N
Salam
M A
MA
D000328:Adult; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D014435:Typhoid Fever / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D014438:Typhus, Epidemic Louse-Borne / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D055815:Young Adult