Enteric fever is predominantly a tropical disease caused by Salmonella typhi and paratyphi. Enteric fever commonly presents with altered liver function tests, but Salmonella is a rare cause for acute hepatitis presentation. Also Salmonella lead to acute pancreatitis with rhabdomyolysis leading to renal failure. We report an otherwise immunocompetent adult male who presented with acute hepatitis with coagulopathy, acute pancreatitis along with rhabdomyolysis, renal failure and delirium which finally turned out to be a case of Salmonella typhi causing enteric fever.
A 13-year-old, previously asymptomatic girl was admitted with features of tuberculous meningitis. She was found to be hypertensive and further investigations revealed an extra-adrenal paraganglioma. Tuberculous meningitis and paraganglioma could be chance associations. Paraganglioma is a very rare and potentially lethal cause of secondary hypertension. We are reporting a very rare disease, which has come to light in a most unexpected manner.
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