Hemolytic Anemia - A Rare Presentation of Enteric Fever

Abstract

17 year old male patient presented to casualty with the chief complaints of fever, pain in abdomen, yellowish discoloration of skin and sclera since 5 days. On investigation he was found to hav jaundice, acute kidney injury, with hemolytic anemia. His HIV, HBsAg, HCV, HAV, HEV, sickling, peripheral smear for MP and Malarial antigen, coombs test and G6PD deficiency were all negative. Widal test for enteric fever was strongly positive. He was treated on line of enteric fever with antidiotics and supportive treatment. With the treatment, he improved clinically and laboratory investigation also showed rapid improvement. He was discharged on 8th day with improved sign and symptoms. After 15 days he was fully recovered and asymptomatic.