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Cutaneous ulcers in typhoid fever

G Karthikeyan1, S Mahadevan

  • 1Department of Paediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

The Journal of Tropical Medicine and Hygiene
|October 1, 1994
PubMed
Summary
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Cutaneous ulcers are rare in typhoid fever. This report details two pediatric cases of typhoid fever presenting with unusual skin ulcers, highlighting a less common clinical manifestation.

Area of Science:

  • Pediatric Infectious Diseases
  • Dermatology
  • Microbiology

Background:

  • Typhoid fever, caused by Salmonella Typhi, is a systemic infection primarily affecting the gastrointestinal tract.
  • Cutaneous manifestations of typhoid fever are infrequent, with rose spots being the most commonly described.
  • Understanding atypical presentations is crucial for timely diagnosis and management.

Observation:

  • Two pediatric patients, aged 10 years and 3 years, were diagnosed with typhoid fever.
  • Both children presented with distinct cutaneous ulcers, an uncommon clinical sign for this infection.
  • The ulcers were the primary dermatological finding in these cases.

Findings:

  • The presence of cutaneous ulcers in these children was associated with confirmed typhoid fever.

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  • This observation expands the spectrum of known cutaneous lesions associated with Salmonella Typhi infection.
  • The ulcers represent an unusual but documented manifestation in pediatric typhoid fever.

    • Implications:

    • Clinicians should consider typhoid fever in the differential diagnosis of children presenting with unexplained cutaneous ulcers, especially in endemic areas.
    • Recognizing atypical skin findings can aid in earlier diagnosis and treatment of typhoid fever.
    • Further research may elucidate the pathogenesis of these cutaneous ulcers in typhoid fever.