Title: Fever, Pancreatitis, Gastrointestinal Bleeding, Multi Organ Dysfunction Syndrome Due To Enteric Fever - A Case Report With Review of Literature

Authors: Dr C R Khatua, Dr Sooraj Menon R, Dr Roniya Simethy, Dr Kumar Avijeet Dash, Dr Vishnu K

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i2.68

Abstract

The diagnosis of enteric fever requires a high degree of clinical suspicion as the signs and symptoms of this disease can be confused with other diseases. Typhoid is still a major health problem in Asian countries, especially in India. Here we present a case of a 23-year old male who had presented with fever along with other rare manifestations like GI bleeding, pancreatitis, myositis and multi organ involvement. As patient may present with rare clinical features, high clinical suspicion is the corner stone of diagnosis.

Keywords:Enteric fever, Salmonella typhi and paratyphi, GI bleeding and intestinal perforation, Pancreatitis.

References

1.      David A Pegues, Samuel I. Miller. Salmonellosis: Harrison`s Principles Of Internal Medicine.19th Edition.2015 ;( 190):1049-1055.

2.      Brian S. Schwartz. Bacterial & Chlamydial Infections: Current Medical Diagnosis & Treatment.    2016 ;( 33):1443-1444.

3.      Irwin J. Russell, Pierre Forgacs, Joseph E. Geraci, Pancreatitis Complicating Typhoid Fever Report of a Case. JAMA. 1976;235(7):753-754.

4.      Uttam K Paul, Smarajit Banik. Typhoid Fever: Presentation and Management Strategies in 2016: Medicine Update 2016-1(Vol-2);(141):706-711.

5.      Surendra Daga. Typhoid Fever: Overview with Recent Advances: Medicine Update 2016-1(Vol-2);(142):712-714.

Corresponding Author

Dr C R Khatua

Assistant Professor

Department of Medicine, MKCG Medical College