The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 22, No 2 (2021): VOLUME 22, NUMBER 2, August 2021

A Patient with Typhoid Hepatitis

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)



Article Info

Publish Date
27 Sep 2021

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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Journal Info

Abbrev

jghe

Publisher

Subject

Medicine & Pharmacology

Description

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy is an academic journal which has been published since 2000 and owned by 3 Societies: The Indonesian Society of Gastroenterology; Indonesian Association for the Study of the Liver; The Indonesian Society for Digestive ...