We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Typhoid fever, complicated by syncope due to relative bradycardia: A case report.
- Authors
Nguyen, Tam Van; Le, Quan Van; Nguyen, Ha Thi; Tu, Quang; Hoang, Tuyen Tien; Ta, Thang Ba; Tran, Tien Viet; Dinh Le, Tuan; Tran, Thang Canh; Nguyen, Linh Giang; Nghiem, Thuan Duc; Tien Nguyen, Son; Van Nguyen, An; Dinh Hoang, Khanh; Nguyen, Kien Xuan
- Abstract
In a United Nations (UN) staff member headquarters in South Sudan, we present a rare typhoid fever complicated by syncope due to relative bradycardia. A 25-year-old male presented to our hospital with a high fever, diarrhea, and no vomiting. He had no substantial medical background. He was diagnosed with an unspecified digestive disorder and received initial treatment. Two syncope episodes were recorded in the Level 1 hospital. He was referred to our hospital at the 30th hour and the third fainting occurred. Electrocardiogram showed bradycardia with a heart rate of 40 beats/min. The atropine test was negative; the initial diagnosis was sinus sickness syndrome. Microbiology tests later suggested typhoid infection. Then, the diagnosis changed to relative bradycardia caused by Salmonella typhi ; and he was orally treated with the third-generation Quinolone antibiotic. He significantly improved and got discharged on the seventh day. In conclusion, typhoid remains a real and present threat to UN staff and civilians in South Sudan.
- Subjects
SOUTH Sudan; UNITED Nations; BRADYCARDIA; SYNCOPE; TYPHOID fever; HEART beat; SALMONELLA typhi; MICROBIOLOGY
- Publication
SAGE Open Medical Case Reports, 2023, p1
- ISSN
2050-313X
- Publication type
Article
- DOI
10.1177/2050313X231177108