Enteric fever resembling Malawi-Mozambique outbreak
DOI:
https://doi.org/10.18203/2320-6012.ijrms20233413Keywords:
Enteric fever, Parkinsonism, Ileal ulcer, Gastrointestinal bleeding, UMN signsAbstract
A 47-year-old male with no known co-morbidities presented with hematochezia and multiple episodes of vomiting. He had a history of high-grade fever with chills, rigor, vomiting, and abdominal pain 3 weeks ago, for which he was treated with 5 days of IV antibiotics in another hospital. Examination revealed tremor, rigidity, hyperreflexia, bradykinesia, and hypophonic monotonous speech. Colonoscopy showed ileocolonic ulcers. Widal came positive. Treated as a case of Enteric fever with neurological complications such as parkinsonism, UMN signs, and gastrointestinal bleeding secondary to an ileal ulcer.
Metrics
References
Pegues DA, Miller SI. Salmonellosis. In: Loscalzo F, Kasper H, Longo J, editors. Harrison’s Principles of Internal Medicine. 21st edition. New York, NY: McGraw-Hill; 2022.
Andrews J, John M, Charles RC. Enteric (Typhoid and paratyphoid) fever: Epidemiology, clinical manifestations, and diagnosis. Available at: http://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. Accessed on 12 July 2023.
Sejvar J, Lutterloh E, Naiene J, Likaka A, Manda R, Nygren B, et al. Neurologic manifestations associated with an outbreak of typhoid fever, Malawi--Mozambique, 2009: an epidemiologic investigation. PLoS One. 2012;7(12):e46099.
Parry CM, Hien TT, Dougan G. Typhoid fever. N Engl J Med. 2002;2013:1770-82.
Agarwal S, Madhu SV, Guleria JS, Talwar V. The problem of emerging chloramphenicol resistance in typhoid fever--a preliminary report. J Assoc Physicians India. 1991;39(6):443-4.
Bitar RE, Tarpley J. Intestinal perforation in typhoid fever: a historical and state-of-the-art review. Rev Infect Dis. 1985;7:257-71.
Van Basten JP, Stockenbrugger R. Typhoid perforation: a review of the literature since 1960. Trop Geogr Med. 1994;46:336-9.
Ezzat RF, Hussein HA, Baban TS, Rashid AT, Abdullah KM. Typhoid ulcer causing life-threatening bleeding from Dieulafoy's lesion of the ileum in a seven-year-old child: a case report. J Med Case Rep. 2010;4:171.