title: Fulminant hepatitis in typhoid fever.
abstract: OBJECTIVE
  To report a patient with typhoid fever who presented with fulminant hepatitis and was found to have a co-infection with hepatitis A.
  
  
  METHODS
  An 11-year-old girl presented with fever and jaundice after arrival from India. Her blood culture was positive for Salmonella typhi. While on treatment with ceftriaxone, she had worsening of her jaundice with abrupt elevation of liver transaminases associated with coagulopathy. She was found to have an associated hepatitis A infection. Liver enzymes all reverted back to normal upon follow up.
  
  
  CONCLUSIONS
  The association of typhoid fever with hepatitis A can result in fulminant hepatitis but in this case, is associated with complete recovery.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, P.O. Box 24923, Safat 13110, Kuwait. ehusain@hsc.edu.kw
authors.forename: Entesar H
authors.initials: EH
authors.lastname: Husain
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001769:Blood / Q000382:microbiology; D002443:Ceftriaxone / Q000008:administration & dosage; D002648:Child; D005260:Female; D006506:Hepatitis A / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007194:India; D007730:Kuwait; D012485:Salmonella typhi / Q000302:isolation & purification*; D000637:Transaminases / Q000097:blood; D014195:Travel; D014435:Typhoid Fever / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D000637:Transaminases