Rare presentation of typhoid fever in an immunocompetent patient

Abstract

Typhoid fever, caused by Salmonella enterica serovar Typhi, is the most common cause of enteric fever, and presents classically with fever and other gastrointestinal symptoms. We report an interesting case of a 27-year-old Indian man who lives in a semiurban area of Haryana (northern India) and presented with a 3-day-long history of intermittent fever, chills, and rigor. He was misdiagnosed previously as having mumps fever in view of the clinical presentation, but later, with proper workup, it was found to be an atypical presentation of typhoid fever. He responded well to intravenous antibiotics and recovered completely from typhoid infection.

Keywords

• a typical presentation
• epididymo-orchitis
• mumps infection
• parotitis
• salmonella paratyphi
• salmonella typhi
• typhoid fever