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All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
M Vitanata Arfijanto
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga/Dr.Soetomo General Hospital Surabaya, Indonesia
Medicine & Pharmacology

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A Patient with Typhoid Hepatitis M Vitanata Arfijanto; Isty Rindryastuti
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 22, No 2 (2021): VOLUME 22, NUMBER 2, August 2021
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.391 KB) | DOI: 10.24871/2222021154-158

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.
Co-Authors Isty Rindryastuti