Typhoid fever, also known as enteric fever, is a multisystemic infection primarily caused by Salmonella enterica serotype Typhi, and less commonly by Salmonella enterica serotypes Paratyphi A, B, and C. The classic presentation includes fever, malaise, diffuse abdominal pain, and constipation. If left untreated, typhoid fever can progress to delirium, obtundation, intestinal haemorrhage, bowel perforation, and death within a month of onset. However, the clinical course can deviate from the classic stepladder fever pattern, which now occurs in as few as 12% of cases.1 In this report, we describe an atypical presentation as sensorineural hearing loss in an otherwise healthy young male.
van WolfswinkelMELahriHWismansPJ, et al.Early small bowel perforation and cochleovestibular impairment as rare complications of typhoid fever. Travel Med Infect Dis2009; 7: 265–268.
4.
MadiDAchappaBRamapuramJT, et al.Atypical presentation of typhoid fever. Asian J Med Sci2013; 5: 140–142.
5.
Al KhodariKBaigTAlkhateebM,et al.Acute sensorineural hearing loss as an atypical presentation of typhoid fever in an adult patient. SAGE Open Med Case Rep2020; 8.
6.
EscajadilloJRAlatorreGZárateA. Typhoid fever and cochleovestibular lesions. Ann Otol Rhinol Laryngol1982; 91: 220–224.
7.
LeungMAFlahertyAZhangJA, et al.Sudden sensorineural hearing loss: primary care update. Hawaii J Med Public Health2016; 75: 172–174.
