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 Case Reports |
| A Case of Typhoid Fever Complicated by Complete AV Block, Myocarditis and Pancreatitis |
| Yu Bae Ahn, Yang Ree Kim, Jin Hong Yoo, Wan Shick Shin, Moon Won Kang |
| Department of Internal Medicine, Catholic University Medical College, Seoul, Korea |
Vol.25 Num.3 (p245~248)
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The report of complete atrioventricular (AV) block with myocarditis complicating typhoid fever is a rare occurrence.
The patient was a 30-year-old woman and experienced fever, chill and abdominal pain two weeks earlier followd by mental confusion. Typhoid fever was confirmed by islolation of S. typhi in blood and stool. Laboratory examination showed the elevation of cardiac enzymes and serum amylase level. On the fifth hospital day, complete AV block developed transiently and disappeared without any intervention. The patient was treated with dexamethasone and a two-week course of chloramphenicol.
We report a case of typhoid fever complicated by complete AV block, myocrditis and pancreatitis.
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