In four cases of typhoid fever where the Widal test was positive, the urine was negative for urobilin, and in two cases of Malta fever where the agglutination test was positive, the urine was found free from urobilin. Out of 1,124 blood films examined malignant tertian malaria parasites were found in 137, benign tertian malaria parasites in 47, and quartan malaria parasites in one, thus showing...

A 28-year-old male patient was presented with pain and restriction of left hip movement since 18 months, mild to moderate intermittent fever since 8 months and generalized bodyache since 1 month. His physical examination revealed axillary lymphadenopathy and hepatomegaly. His hemoglobin was 9.5 gm/dl (normal 12–16 gm/dl) and total leukocyte count was 14,200/mm3 (normal 4000–11000/mm3) with 62% ...

An unusual case of malaria presented with gastroenteritis and bloody diarrhoea in a 46-year-old male. The patient was a non-Saudi resident of Makkah, Saudi Arabia. Fever was not the presenting complaint, and the patient had not experienced any chills or sweating. He gave history of recent travel to Pakistan. Initial laboratory investigations showed anemia, thrombocytopenia, normal liver functio...

Serum samples from 22 patients with proven typhoid fever, 60 febrile nontyphoidal patients, and 120 healthy subjects were tested for immunoglobulin A (IgA), IgG, and IgM anti-Salmonella typhi lipopolysaccharide antibodies by an enzyme-linked immunosorbent assay. The levels of all three classes of immunoglobulin anti-lipopolysaccharide were higher in typhoid patients than in controls; the test f...

A 19-year-old male was admitted to the medical ward with complaints of fever and swelling of the ankle and wrist joints of about two weeks duration. The patient developed hyperkeratotic lesions of the skin over the hands, elbow and back about three weeks after admission. Antistreptolysin O, rheumatoid factor, and Widal tests as well as Chickungunya, brucella, HIV and antinuclear antibodies were...

Cerebral venous sinus (sinovenous) thrombosis (CSVT) is a rare life-threatening disorder in childhood that is often misdiagnosed. CSVT encompasses cavernous sinus thrombosis, lateral sinus thrombosis, and superior sagittal sinus thrombosis (SSST). We present an adolescent girl who was well until two weeks earlier when she had a throbbing frontal headache and fever with chills; she later had dys...

OBJECTIVE The objective of this study is to evaluate the clinical profile and drug response in typhoid fever. METHODS This is a retrospective analysis of paediatric patients suffering from typhoid fever who were admitted at Kathmandu Medical College Teaching Hospital, Sinamangal during the period of two years and nine months. RESULTS Total numbers of 100 cases of typhoid were studied. Diagn...

BACKGROUND Typhoid fever is a severe infective disease endemic in the areas where sanitation is poor. Its serious complication is bowel perforation with terminal ileum as the commonest perforation site. We report a case of an extremely unusual site of perforation in sigmoid colon due to typhoid fever. METHODS An 18-month-old boy presented with no passage of flatus and feces along with guardin...

A Mohammedan male, aged 43, was admitted into the Medical College Hospital with the complaints of slight irregular fever and heart trouble. The case was labelled in the ward as " chronic malaria with mitral stenosis." He was having the usual treatment. After about a fortnight in the hospital he complained of a painful swelling in the scrotum and on examination the scrotum was found to be inflam...