Typhus Fever: An Overlooked Diagnosis

Authors

  • Ramendra N Masumder Dhaka Hospital
  • Mark AC Pietroni Dhaka Hospital
  • Nadira Mosabbir Dhaka Hospital
  • MA Salam Clinical Sciences Division, ICDDR,B, Dhaka

DOI:

https://doi.org/10.3329/jhpn.v27i3.3385

Keywords:

Co-infections, Morbidity, Typhoid, Typhus, Bangladesh

Abstract

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.

Key words: Co-infections; Morbidity; Typhoid; Typhus; Bangladesh

doi: 10.3329/jhpn.v27i3.3385

J Health Popul Nutr 2009 Jun;27(3):419-421

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Author Biography

Mark AC Pietroni, Dhaka Hospital

Dr. Mark Pietroni
Hospital Administrator and Consultant Physician
ICDDR,B
GPO Box 128
Dhaka 1000
Bangladesh
Email: markp@icddrb.org
Fax: +880-2-9885657, 9886734
Cover JHPN Vol.27(3)

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How to Cite

Masumder, R. N., Pietroni, M. A., Mosabbir, N., & Salam, M. (2009). Typhus Fever: An Overlooked Diagnosis. Journal of Health, Population and Nutrition, 27(3), 419–421. https://doi.org/10.3329/jhpn.v27i3.3385

Issue

Vol. 27 No. 3 (2009)

Section

Case studies