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Title: Uncommon presentation of typhoid fever: A case report
Authors: Yap, I. 
Wee, A. 
Keywords: cholestatic jaundice
liver biopsy
liver function tests
Issue Date: 1993
Citation: Yap, I., Wee, A. (1993). Uncommon presentation of typhoid fever: A case report. Annals of the Academy of Medicine Singapore 22 (6) : 943-944. ScholarBank@NUS Repository.
Abstract: A 24-year-old Chinese woman was admitted for cholestatic jaundice following a short history of fever associated with headache and diarrhoea. She had mild hepatomegaly. Initial laboratory investigations were non-contributory. A percutaneous liver biopsy revealed inflammatory changes more in keeping with a systemic infection than a primary hepatitic problem. Repeat blood and stool cultures finally grew Salmonella typhi. Jaundice is a rare manifestation of typhoid fever; it occurs in less than one-third of patients with hepatomegaly. Such a presentation may mimic primary hepatic infections. Awareness of this rare occurrence in typhoid fever would help in early diagnosis and therapy.
Source Title: Annals of the Academy of Medicine Singapore
ISSN: 03044602
Appears in Collections:Staff Publications

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