Mysterious Looks of Typhoid Fever: A New Experience

Abstract

Enteric fever (typhoid or paratyphoid) is a common infectious disease worldwide, especially in developing countries like Bangladesh. Typhoid fever caused by the gram negative bacterium Salmonella typhi that may have a wide spectrum of clinical presentations. We report a case of a 17 year old previously healthy college boy who presented with fever, abdominal pain and shortness of breath later on who was eventually diagnosed as having typhoid fever complicated by acute pancreatitis, hepatitis and severe pulmonary hypertension. Enteric fever presenting as acute pancreatitis and pulmonary hypertension is a rare entity and must be considered in endemic areas like Bangladesh, in patients presenting with fever and concomitant severe abdominal pain and shortness of breath, as any delay in timely institution of treatment can prove fatal. There are very few case reports in the world which have depicted this unusual association.Bangladesh Crit Care J March 2015; 3 (1): 36-38

A Rare Cause of Acute Hepatopancreatitis in a Nepalese Teen

“…Just as uncommon it is for typhoid to cause AP, equally uncommon it is to have typhoid causing AH [6]. To the best of our knowledge, this may probably be the first ever reported case of typhoid-induced AP and AH in the same child from Nepal.…”

“…Rarer complications include rhabdomyolysis, hepatitis, renal insufficiency, pancreatitis, meningitis, myocarditis, pneumonitis, arthritis, osteomyelitis, and parotitis [5]. Finding a deranged LFT is not uncommon but enteric fever presenting primarily with AP and AH is certainly not an ordinary event [3, 6].…”