Enteric or typhoid fever is an emerging tropical infectious disease and a global public health problem with a documented spectrum of neuro-psychiatric manifestations especially from endemic countries. Although neuro-psychiatric manifestations are reported in nearly 50–75% of patients at any phase of enteric fever, the chance of their misdiagnosis and deferred diagnosis of the prime illness is quite common. Atypical symptoms are commonly attributed to be a part of ‘typhoid toxaemia’, the acute febrile phase of the illness. We report a case of young male presenting with catatonia in the aftermath of such.
OsuntokunBOBademosiOOgunremiK, et al.Neuropsychiatric manifestations of typhoid fever in 959 patients. Arch Neurol1972; 27: 7–13.
2.
AliGRashidSKamliMA, et al.Spectrum of neuropsychiatric complications in 791 cases of typhoid fever. Trop Med Int Health2007; 2: 314–318.
3.
SejvarJLutterlohENaieneJ, et al.Neurologic manifestations associated with an outbreak of typhoid fever, Malawi – Mozambique, 2009: an epidemiologic investigation. Kirk M, editor. PLoS One2012; 7: e46099–e46099.
4.
WadiaRSIchaporiaNRKiwalkarRS, et al.Cerebellar ataxia in enteric fever. J Neurol Neurosurg Psychiatry1985; 48: 695–697.
5.
WaliGM. Bickerstaff’s brainstem encephalitis associated with typhoid fever. Postgrad Med J1991; 67: 1011–1012.
6.
RatnayakeUKumananTSelvaratnamG. Coma vigil a rare neuropsychiatric complication of a pan sensitive Salmonella infection. Sri Lankan J Infect Dis2017; 7: 111–111.
7.
Mellon G, Eme A-L, Rohaut B, et al. Encephalitis in a traveller with typhoid fever: efficacy of corticosteroids. J Travel Med. Epub ahead of print 1 September 2017. DOI: 10.1093/jtm/tax063.
8.
MahajanSAundhakarSMhaskarD, et al.Typhoid meningocerebellitis. Int J Health Allied Sci2012; 1: 281–281.
9.
TharoorHKarNKumarVS, et al.Catatonic syndrome as a complication of enteric fever. Ind J Psychiatry2002; 44: 183–185.
10.
BreakeyWRKalaAK. Typhoid catatonia responsive to ECT. BMJ1977; 2: 357–359.
NairRMehtaSKumaraveluS. Typhoid fever presenting as acute psychosis. Med J Armed Force India2003; 59: 252–253.
13.
Jain A and Baheti G. Steroid Pulse Therapy in the Management of Neuro-psychiatric Manifestations in an Atypical Presentation of Typhoid Fever. J Med Res Innov 2019; 3(2): e000178.
