DOI: 10.36347/sjams.2014.v02i01.0102

Pages: 472-473

Typhoid fever is a systemic infection caused by Salmonella enterica serotype typhi. It remains animportant worldwide endemic cause of morbidity and mortality. The presentation of typhoid fever may also differ according to age. Typhoid fever usually manifests as high-grade fever with a wide variety of associated features, such as generalized myalgia, abdominal pain, hepatosplenomegaly, abdominal pain, and anorexia. In children, diarrhea may occur in the earlier stages of the illness and may be followed by constipation. Diarrhea, toxicity, and complications such as disseminated intravascular coagulopathy (DIC) are also more common in infancy, resulting in higher case fatality rates. However, some of the other features and complications of typhoid fever seen in adults, such as relative bradycardia, neurologic manifestations, and gastrointestinal bleeding, are rare in children. We present an unusual case of enteric fever with gastrointestinal bleeding and Jarisch-Herxheimer reaction in an immunocompetent child .