Uncommon presentations of enteric fever: A report of three cases
Rationale: Enteric fever is a major public health problem in developing and underdeveloped counties. Extraintestinal manifestations in typhoid are estimated in 27% cases and are associated with severe and complicated diseases. Patients concerns: We report three cases of enteric fever with rare extra...
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-06-01
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| Series: | Asian Pacific Journal of Tropical Medicine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/apjtm.apjtm_614_24 |
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| author | Ruhi Khan Sruthi Ramindla Saif Quaiser Kaynat Khan |
| author_facet | Ruhi Khan Sruthi Ramindla Saif Quaiser Kaynat Khan |
| author_sort | Ruhi Khan |
| collection | DOAJ |
| description | Rationale:
Enteric fever is a major public health problem in developing and underdeveloped counties. Extraintestinal manifestations in typhoid are estimated in 27% cases and are associated with severe and complicated diseases.
Patients concerns:
We report three cases of enteric fever with rare extra intestinal manifestations.
Diagnoses:
Enteric fever with acute motor-sensory axonal neuropathy, enteric fever with myocarditis, and enteric fever with splenic vein thrombosis.
Interventions:
All patients were treated with antibiotics. Additionally, Patient 1 was treated with IV immunoglobulin; Patient 2 was treated with vasopressors and anti-cardiac remodeling drugs like ramipril and metoprolol; Patient 3 was treated with anticoagulation with low molecular weight heparin.
Outcomes:
All patients improved clinically and were followed up on outpatient.
Lessons:
The diagnosis of enteric fever is challenging and there is an urgent need for prompt-targeted management for better outcomes. Especially in endemic zones and in non-endemic zones as a disease of emporiatric significance. |
| format | Article |
| id | doaj-art-00feb8f6e3964032bb7d6ff3feb69b0d |
| institution | Matheson Library |
| issn | 2352-4146 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Pacific Journal of Tropical Medicine |
| spelling | doaj-art-00feb8f6e3964032bb7d6ff3feb69b0d2025-07-04T06:07:55ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462025-06-0118628028510.4103/apjtm.apjtm_614_24Uncommon presentations of enteric fever: A report of three casesRuhi KhanSruthi RamindlaSaif QuaiserKaynat KhanRationale: Enteric fever is a major public health problem in developing and underdeveloped counties. Extraintestinal manifestations in typhoid are estimated in 27% cases and are associated with severe and complicated diseases. Patients concerns: We report three cases of enteric fever with rare extra intestinal manifestations. Diagnoses: Enteric fever with acute motor-sensory axonal neuropathy, enteric fever with myocarditis, and enteric fever with splenic vein thrombosis. Interventions: All patients were treated with antibiotics. Additionally, Patient 1 was treated with IV immunoglobulin; Patient 2 was treated with vasopressors and anti-cardiac remodeling drugs like ramipril and metoprolol; Patient 3 was treated with anticoagulation with low molecular weight heparin. Outcomes: All patients improved clinically and were followed up on outpatient. Lessons: The diagnosis of enteric fever is challenging and there is an urgent need for prompt-targeted management for better outcomes. Especially in endemic zones and in non-endemic zones as a disease of emporiatric significance.https://journals.lww.com/10.4103/apjtm.apjtm_614_24entericacute motor-sensory axonal neuropathymyocarditisthrombosissplenic vein |
| spellingShingle | Ruhi Khan Sruthi Ramindla Saif Quaiser Kaynat Khan Uncommon presentations of enteric fever: A report of three cases Asian Pacific Journal of Tropical Medicine enteric acute motor-sensory axonal neuropathy myocarditis thrombosis splenic vein |
| title | Uncommon presentations of enteric fever: A report of three cases |
| title_full | Uncommon presentations of enteric fever: A report of three cases |
| title_fullStr | Uncommon presentations of enteric fever: A report of three cases |
| title_full_unstemmed | Uncommon presentations of enteric fever: A report of three cases |
| title_short | Uncommon presentations of enteric fever: A report of three cases |
| title_sort | uncommon presentations of enteric fever a report of three cases |
| topic | enteric acute motor-sensory axonal neuropathy myocarditis thrombosis splenic vein |
| url | https://journals.lww.com/10.4103/apjtm.apjtm_614_24 |
| work_keys_str_mv | AT ruhikhan uncommonpresentationsofentericfeverareportofthreecases AT sruthiramindla uncommonpresentationsofentericfeverareportofthreecases AT saifquaiser uncommonpresentationsofentericfeverareportofthreecases AT kaynatkhan uncommonpresentationsofentericfeverareportofthreecases |