"Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

Margaret Mead
Case report
peer-reviewed

A Rare Coincidence of Measles with Typhoid Fever



Abstract

Typhoid, otherwise known as enteric fever, and measles both have a high incidence worldwide. However, a coincidence of both has been only documented twice previously in 1866 and 1949. We present a case of a 24-year-old male who presented with high-grade fever and diffuse abdominal tenderness. He was diagnosed with typhoid initially, but during the course of his illness, he developed a maculopapular rash and pathognomonic Koplik’s spots. Further investigations confirmed measles that was concurrent with typhoid. This highlights the importance of further comprehensive investigations even in diagnosed cases, and that overlapping symptoms should raise the clinical suspicion of concurrent diseases. One should always keep an open mind when assessing a patient, not just at the time of making a diagnosis but throughout the course of illness.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Case report
peer-reviewed

A Rare Coincidence of Measles with Typhoid Fever


Author Information

Omair ul haq Lodhi Corresponding Author

Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

Syed F. Imam

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan

Mahad Umer

Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

Rizwan Zafar

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Informed consent obtained from the patient for this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

A Rare Coincidence of Measles with Typhoid Fever


Figures etc.

Share
Case report
peer-reviewed

A Rare Coincidence of Measles with Typhoid Fever

Omair ul haq Lodhi">Omair ul haq Lodhi , Syed F. Imam">Syed F. Imam, Mahad Umer">Mahad Umer, Rizwan Zafar">Rizwan Zafar

  • Author Information
    Omair ul haq Lodhi Corresponding Author

    Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

    Syed F. Imam

    Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan

    Mahad Umer

    Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

    Rizwan Zafar

    Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Informed consent obtained from the patient for this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: August 30, 2017

    DOI

    10.7759/cureus.1630

    Cite this article as:

    Lodhi O, Imam S F, Umer M, et al. (August 30, 2017) A Rare Coincidence of Measles with Typhoid Fever. Cureus 9(8): e1630. doi:10.7759/cureus.1630

    Publication history

    Received by Cureus: July 23, 2017
    Peer review began: August 23, 2017
    Peer review concluded: August 25, 2017
    Published: August 30, 2017

    Copyright

    © Copyright 2017
    Lodhi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Typhoid, otherwise known as enteric fever, and measles both have a high incidence worldwide. However, a coincidence of both has been only documented twice previously in 1866 and 1949. We present a case of a 24-year-old male who presented with high-grade fever and diffuse abdominal tenderness. He was diagnosed with typhoid initially, but during the course of his illness, he developed a maculopapular rash and pathognomonic Koplik’s spots. Further investigations confirmed measles that was concurrent with typhoid. This highlights the importance of further comprehensive investigations even in diagnosed cases, and that overlapping symptoms should raise the clinical suspicion of concurrent diseases. One should always keep an open mind when assessing a patient, not just at the time of making a diagnosis but throughout the course of illness.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



Omair ul haq Lodhi, M.D.

Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

For correspondence:
lodhi.omair@gmail.com

Syed F. Imam, M.D.

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan

Mahad Umer

Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

Rizwan Zafar, M.D.

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan

Omair ul haq Lodhi, M.D.

Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

For correspondence:
lodhi.omair@gmail.com

Syed F. Imam, M.D.

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan

Mahad Umer

Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan

Rizwan Zafar, M.D.

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan