Sepsis, an Unusual Presentation of Typhoid Fever - A Case Report

Ishrat Binte Reza, MA Zahiruddin, H. Ahasan, Quazi Tarikul Islam
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Abstract

Typhoid fever is an infection caused by Salmonella typhi. The common complications are intestinal perforation and typhoid encephalopathy. Cases of typhoid fever with sepsis and/or disseminated intravascular coagulation (DIC) are rarely reported. A 20 yr old male presented with grade fever, vomiting, diarrhoea.His Dengue NS1 was negative, procalcitonin was high,coagulation profile was altered and developed subclinical DIC along with septicemia within a short period of time which is very rare. Sepsis and DIC are rare complications of typhoid fever. Typhoid fever can be presented with profound bleeding manifestation other than gastrointestinal bleeding, since it is a common symptom of typhoid fever. Further research should be conducted to postulate association between typhoid fever and DIC. Here we reported an unusual case of sepsis which a caused by case of typhoid fever. Bangladesh J Medicine 2023; 34(3): 252-254
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败血症,伤寒的一种不寻常的表现- 1例报告
伤寒是一种由伤寒沙门氏菌引起的传染病。常见的并发症是肠穿孔和伤寒脑病。伤寒合并败血症和/或弥散性血管内凝血(DIC)的病例很少报道。一名20岁男性表现为发烧、呕吐、腹泻。他的登革NS1阴性,降钙素原高,凝血谱改变,在短时间内发展亚临床DIC并败血症,这是非常罕见的。脓毒症和DIC是伤寒的罕见并发症。伤寒是伤寒的常见症状,除消化道出血外,还可出现深度出血表现。伤寒与DIC之间的关系有待进一步研究。在这里,我们报告了一个不寻常的败血症的情况下,引起的情况下,伤寒。孟加拉国J医学2023;34 (3): 252 - 254
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