Masquerader of Unilateral Neuro-retinitis: Salmonella Typhi

Author(s):

Vijaykumar S Gulwe, Mrs Kharche JM, Sohel Khan, Awani Paithankar, Umesh Malu, Pawanraj Bhosale, and Parth Maindarkar

Despite its rarity, atypical typhoid clinical presentation has gained substantial ground
in clinical practise in recent years. Abdominal lymphadenopathy, acute acalculous
cholecystitis, osteomyelitis, splenic abscess, pneumonia, liver abscess, jaundice,
pancreatitis, meningitis, orchitis, and parotitis are some of the more unusual typhoid
symptoms. Complication of typhoid fever usually occurs in 3rd or 4th week of illness and
especially in inadequately treated patients. Commonest complications being intestinal
haemorrhage and perforation occurring due to necrosis in the Peyer’s patches of
intestine. Present case reports atypical typhoid presentation with neuro retinitis with
serous retinal detachment following a typhoid fever.