A Patient with Typhoid Hepatitis

Authors

  • M Vitanata Arfijanto Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga/Dr.Soetomo General Hospital Surabaya, Indonesia
  • Isty Rindryastuti Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga/Dr.Soetomo General Hospital Surabaya, Indonesia

DOI:

https://doi.org/10.24871/2222021154-158

Keywords:

typhoid hepatitis, salmonella hepatitis, typhoid fever, enteric fever, salmonella typhi

Abstract

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.

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Published

2021-09-27

How to Cite

Arfijanto, M. V., & Rindryastuti, I. (2021). A Patient with Typhoid Hepatitis. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 22(2), 154–158. https://doi.org/10.24871/2222021154-158

Issue

Vol. 22 No. 2 (2021): VOLUME 22, NUMBER 2, August 2021

Section

Case Reports

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