Open AccessA Patient with Typhoid Hepatitis
Author(s) -
Muhammad Vitanata Arfijanto,
Isty Rindryastuti
Publication year - 2021
Publication title -
the indonesian journal of gastroenterology, hepatology, and digestive endoscopy/the indonesian journal of gastroenterology hepatology and digestive endoscopy
Language(s) - English
Resource type - Journals
eISSN - 2302-8181
pISSN - 1411-4801
DOI - 10.24871/2222021154-158
Subject(s) - typhoid fever , medicine , dengue fever , salmonella typhi , jaundice , hepatitis , gastroenterology , incidence (geometry) , blood culture , hepatitis a , hepatitis a virus , liver function tests , ceftriaxone , liver function , immunology , virology , virus , antibiotics , microbiology and biotechnology , biology , biochemistry , physics , escherichia coli , optics , gene
Typhoid hepatitis is typhoid fever accompanied by symptoms of jaundice, hepatomegaly and abnormal liver function tests. The incidence varies between 0.4% -26% of typhoid fever patients. We report a case of a 34-year-old male, presented with fever, epistaxis, gastrointestinal symptoms, thrombocytopenia and elevated AST/ ALT, thus the patient was first diagnosed as dengue hemorrhagic fever grade II. On day 9th the signs and symptoms were persisted, Ig M and Ig G Dengue was negative. Then we evaluated the virus marker for hepatitis and blood culture. The results were negative for HBsAg, anti HCV and Ig M anti HAV, but Salmonella typhi detected on blood culture. The patient was treated with ceftriaxone 1000mg bid iv and get better then discharged from hospital.