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Typhoid Fever, Below the Belt.

Kamakshi Mahadevan Raveendran1, Stalin Viswanathan2

  • 1House Surgeon, Department of General Medicine, Indira Gandhi Medical College & RI , Vazhudavur Road, Puducherry, India .

Journal of Clinical and Diagnostic Research : JCDR
|February 20, 2016
PubMed
Summary

Genital ulcers can signal typhoid fever, a common tropical illness. Early diagnosis and treatment are crucial for recovery, even when symptoms are atypical.

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Area of Science:

  • Infectious Diseases
  • Dermatology
  • Tropical Medicine

Background:

  • Genital ulcers have diverse causes, including infections, inflammation, and malignancy.
  • In tropical regions like India, parasitic, tubercular, rickettsial, and bacterial etiologies are common.
  • Typhoid fever, endemic in the tropics, typically presents with fever, but skin manifestations are rare and often overlooked.

Observation:

  • This case report details scrotal ulcers as the primary presenting symptom of typhoid fever.
  • Skin manifestations in typhoid fever are unusual and can be missed, especially in individuals with pigmented skin.
  • Patients may not report genital ulcers due to social stigma or fear, and genital examination is not standard practice in typhoid fever diagnosis.

Findings:

  • Scrotal ulcers were the initial and most prominent symptom in a patient with typhoid fever.
Keywords:
Enteric feverGenital ulcersScrotal ulcers

Related Experiment Videos

  • The genital ulcers resolved effectively with standard typhoid fever therapy.
  • This highlights the potential for atypical presentations of typhoid fever.

    • Implications:

    • Genital examination should be considered in the diagnostic workup of patients presenting with genital ulcers, particularly in endemic areas.
    • Recognizing unusual skin manifestations like scrotal ulcers can lead to earlier diagnosis of typhoid fever.
    • This case underscores the importance of considering typhoid fever in the differential diagnosis of genital ulcers, even in the absence of typical symptoms.