Typhoid fever as a rare cause of hepatic, splenic, and bone marrow granulomas

Intern Med. 2004 May;43(5):436-9. doi: 10.2169/internalmedicine.43.436.

Abstract

During the course of typhoid fever, the usual histologic finding of the liver is "nonspecific reactive hepatitis." Hepatic granuloma (HG) is a rare complication of typhoid fever. We present two cases of typhoid fever with HG and review the relevant literature. Case 1 (a 53-year-old female) was found to have both hepatic and splenic granulomas. This is the first case of typhoid fever with splenic granulomas in the English language literature. Case 2 (a 66-year-old male) developed granulomas in the bone marrow in addition to HG. It should be considered that typhoid fever may lead to granulomas in several organs.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Biopsy, Needle
  • Bone Marrow Diseases / etiology
  • Bone Marrow Diseases / pathology*
  • Chloramphenicol
  • Female
  • Follow-Up Studies
  • Granuloma / etiology
  • Granuloma / pathology*
  • Humans
  • Immunohistochemistry
  • Liver Diseases / etiology
  • Liver Diseases / pathology*
  • Male
  • Middle Aged
  • Rare Diseases
  • Severity of Illness Index
  • Splenic Diseases / etiology
  • Splenic Diseases / pathology*
  • Treatment Outcome
  • Typhoid Fever / complications*
  • Typhoid Fever / diagnosis
  • Typhoid Fever / drug therapy

Substances

  • Chloramphenicol