Abstract

LEON S, Lina Paola; OTERO, William  and  GOMEZ, Martín. Fever, Jaundice and Hepatitis: It is not always a Viral Infection. Rev Col Gastroenterol [online]. 2015, vol.30, n.3, pp.292-297. ISSN 0120-9957.

Typhoid fever is a systemic infection caused by Salmonella enterica serotype Typhi as the result of ingestion of contaminated food (fecal-oral). It is a public health problem, especially in developing countries where it is very prevalent and where it is related to poor sanitation. Hepatitis occurs in 1% to 26% of patients with typhoid, so typhoid fever should be suspected when jaundice, fever and hepatitis coexist. Nevertheless, it is difficult to distinguish it from hepatotropic hepatitis virus. The key to diagnosis is that fever disappears in these viral infections while the patient still has jaundice. Final diagnosis requires the isolation of salmonella through blood and/or cultures, but most importantly cultures of bone marrow which have the highest diagnostic yield

Keywords : Hepatitis; salmonella; enteric fever.

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