Fever
 
Body Temperature
  Fever
  Febrile Syndromes
Cases
  Fever and Lethargy
  Abdominal Pain
  Fever and Nausea
 
 
 
 
 
 

Endoscopy was not available, had it been, here's what might have been seen.

  • Markedly enlarged submucosal lymphoid aggregates (Peyer's patches).
  • Focal areas of mucosal ulceration.
  • Perforation of the bowel wall through the  focally necrotic Peyer's patch.

Yes, Otieno has malaria, but what is going on with his abdomen in unrelated to malaria.

  • Otieno's life threatening problem is typhoid fever with bowel perforation.
Dr. Tom Hrisomalos of Bloomington, Indiana, helped with this case. Hear of his experiences by clicking the controller buttons below.
  • Diagnosis of exclusion. Click to hear why.   
  • Otieno's complication. Click to hear the story.   

Typhoid fever
 
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