Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : May | Volume : 12 | Issue : 5 | Page : SD01 - SD04

Enteric Fever in Two Siblings with Severe Haemorrhage and Shock

Parul Bhati, Garima Gupta, PC Goyal

1. Specialist, Department of Paediatrics, Central Government Health Scheme, Mumbai, Maharashtra, India. 2. Assistant Professor, Department of Paediatrics, North DMC Medical College And Hindu Rao Hospital, Delhi, India. 3. Professor, Department of Paediatrics, North DMC Medical College And Hindu Rao Hospital, Delhi, India.

Correspondence Address :
Dr. Parul Bhati,
Flat No. 44, 3B, Phase-2, Kalpataru Appartments, Ghatkopar West-400086, Mumbai, Maharashtra, India.


Enteric fever is an infectious disease caused by Salmonella typhi, more common in developing countries. It can affect almost all organ systems of the body. There have been occasional reports in literature of patients with enteric fever presenting with severe haemorrhage and very rarely both haemorrhage and shock. Here, we report cases of two siblings, both of them suffering from enteric fever simultaneously, presenting with severe multiple site haemorrhage, shock and with severe thrombocytopenia. The elder sibling presented with encephalopathy as well. Both siblings survived after receiving appropriate platelet and blood transfusions alongside ionotropes and appropriate antibiotics.


Encephalopathy, Gastrointestinal haemorrhage, Petechiae, Thrombocytopenia

How to cite this article :

Parul Bhati, Garima Gupta, PC Goyal. ENTERIC FEVER IN TWO SIBLINGS WITH SEVERE HAEMORRHAGE AND SHOCK. Journal of Clinical and Diagnostic Research [serial online] 2018 May [cited: 2018 Aug 15 ]; 12:SD01-SD04. Available from

DOI and Others

DOI: 10.7860/JCDR/2018/32804.11484

Date of Submission: Sep 27, 2017
Date of Peer Review: Nov 30, 2017
Date of Acceptance: Feb 28, 2018
Date of Publishing: May 01, 2018


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