A Patient with Typhoid Hepatitis

Typhoid hepatitis is typhoid fever accompanied by symptoms of jaundice, hepatomegaly and abnormal liver function tests. The incidence varies between 0.4% -26% of typhoid fever patients. We report a case of a 34-year-old male, presented with fever, epistaxis, gastrointestinal symptoms, thrombocytopen...

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Bibliographic Details
Published inThe Indonesian journal of gastroenterology, hepatology, and digestive endoscopy (Jakarta) Vol. 22; no. 2; pp. 154 - 158
Main Authors Arfijanto, M Vitanata, Rindryastuti, Isty
Format Journal Article
LanguageEnglish
Published Interna Publishing 27.09.2021
Subjects
enteric fever
salmonella hepatitis
salmonella typhi
typhoid fever
typhoid hepatitis
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Summary:Typhoid hepatitis is typhoid fever accompanied by symptoms of jaundice, hepatomegaly and abnormal liver function tests. The incidence varies between 0.4% -26% of typhoid fever patients. We report a case of a 34-year-old male, presented with fever, epistaxis, gastrointestinal symptoms, thrombocytopenia and elevated AST/ ALT, thus the patient was first diagnosed as dengue hemorrhagic fever grade II. On day 9th the signs and symptoms were persisted, Ig M and Ig G Dengue was negative. Then we evaluated the virus marker for hepatitis and blood culture. The results were negative for HBsAg, anti HCV and Ig M anti HAV, but Salmonella typhi detected on blood culture. The patient was treated with ceftriaxone 1000mg bid iv and get better then discharged from hospital.
ISSN:1411-4801
2302-8181
DOI:10.24871/2222021154-158