Enteric Fever in Two Siblings with Severe Haemorrhage and Shock SD01-SD04
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.