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Typhoid fever, complicated by syncope due to relative bradycardia: A case report

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...

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Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233606/
https://www.ncbi.nlm.nih.gov/pubmed/37274938
http://dx.doi.org/10.1177/2050313X231177108
Descripción
Sumario: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.