Myocarditis with pseudobulbar palsy in a six year old with typhoid fever

Typhoid fever is still endemic in India. It is responsible for two lakh death occurring annually worldwide. Multi system involvement complicates the disease occasionally. However timely interventions may avoid fatalities. Here we present case of a six year old girl with typhoid fever who developed cardiogenic shock secondary to myocarditis at peak of illness. She also developed pseudobulbar palsy during convalescence. Child responded to ceftriaxone and anti- cardiac failure management. Pseudobulbar palsy was self limiting.