LAUSR

Enteric fever is a major public health problem in developing and underdeveloped counties. Extraintestinal manifestations in typhoid are estimated in 27% cases and are associated with severe and complicated diseases. We report three cases of enteric fever with rare extra intestinal manifestations. Enteric fever with acute motor-sensory axonal neuropathy, enteric fever with myocarditis, and enteric fever with splenic vein thrombosis. All patients were treated with antibiotics. Additionally, Patient 1 was treated with IV immunoglobulin; Patient 2 was treated with vasopressors and anti-cardiac remodeling drugs like ramipril and metoprolol; Patient 3 was treated with anticoagulation with low molecular weight heparin. All patients improved clinically and were followed up on outpatient. The diagnosis of enteric fever is challenging and there is an urgent need for prompt-targeted management for better outcomes. Especially in endemic zones and in non-endemic zones as a disease of emporiatric significance.