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Year : 2017  |  Volume : 14  |  Issue : 3  |  Page : 179-181

A case of Salmonella typhi sepsis with acute encephalopathy and disseminated intravascular coagulopathy

1 Department of Critical Care Medicine, Apollo Hospitals, Bhubaneswar, Odisha, India
2 Department of Neurology, Apollo Hospitals, Bhubaneswar, Odisha, India

Correspondence Address:
Sharmili Sinha
Apollo Hospitals, Bhubaneswar, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/am.am_29_17

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Typhoid is a serious systemic illness commonly presenting with fever and abdominal symptoms. However, it very rarely can manifest without any gastrointestinal symptoms and with acute indolent neurological features only which can pose a diagnostic challenge. We had a such a case which took a fatal course later on with sepsis, disseminated intravascular coagulation (DIC) and multi-organ failure. We did a literature survey on the unusual and extra-intestinal features of the disease. We found when associated with serious neurological findings, the disease has a worse prognosis. Vaccines along with public awareness should be promoted in endemic zones as the disease can often otherwise take a complicated course with high morbidity and mortality.

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