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J Health Popul Nutr ; 27(3): 419-21, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19507758

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.


Subject(s)
Typhus, Epidemic Louse-Borne/diagnosis , Adult , Diagnosis, Differential , Diarrhea/etiology , Fever/etiology , Humans , Male , Typhoid Fever/complications , Typhoid Fever/diagnosis , Typhoid Fever/drug therapy , Typhus, Epidemic Louse-Borne/complications , Typhus, Epidemic Louse-Borne/drug therapy , Young Adult
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