Typhoid fever presenting as acute psychosis in a young adult: case report and literature review of typhoid psychosis
https://doi.org/10.47665/tb.38.2.057
- Author:
Esa, H.
1
;
Norazlah, B.
1
;
Hameed, A.A.
1
;
Ding, C.H.
2
;
Wahab, A.A.
2
Author Information
1. Microbiology Unit, Department of Pathology, Selayang Hospital, Selayang-Kepong Highway, 68100 Selayang, Selangor Darul Ehsan
2. Department of Medical Microbiology and Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
Acute psychosis;
bacteraemia;
Salmonella Typhi;
typhoid fever
- From:Tropical Biomedicine
2021;38(No.2):192-195
- CountryMalaysia
- Language:English
-
Abstract:
The rarity of acute psychosis in typhoid fever can result in delayed and misdiagnosis of the condition. We report a case of a 20-year-old man who presented with fever and acute psychotic symptoms. This was associated with headache, dizziness, and body weakness. There were no other significant symptoms. Neurological examination revealed reduced muscle tone of bilateral lower limbs but otherwise unremarkable. The computed tomography (CT) scan of his brain showed no abnormality. Blood specimens for microbiological culture grew Salmonella Typhi. This isolate was susceptible to chloramphenicol, ampicillin, ceftriaxone, ciprofloxacin, and trimethoprim-sulfamethoxazole. He was treated with intravenous ceftriaxone for one week and responded well. He was discharged with oral ciprofloxacin for another week. The repeated blood and stool for bacterial culture yielded no growth of Salmonella Typhi.
- Full text:8.2021my1257.pdf
