Typhoid fever as a rare cause of hepatic, splenic, and bone marrow granulomas.

During the course of typhoid fever, the usual histologic finding of the liver is "nonspecific reactive hepatitis." Hepatic granuloma (HG) is a rare complication of typhoid fever. We present two cases of typhoid fever with HG and review the relevant literature. Case 1 (a 53-year-old female) was found to have both hepatic and splenic granulomas. This is the first case of typhoid fever with splenic granulomas in the English language literature. Case 2 (a 66-year-old male) developed granulomas in the bone marrow in addition to HG. It should be considered that typhoid fever may lead to granulomas in several organs.

[1]  T. Karayel,et al.  Miliary tuberculosis: Clinical manifestations, diagnosis and outcome in 38 adults , 2001, Respirology.

[2]  H. Senturk,et al.  The etiology of hepatic granulomas. , 2001, Journal of clinical gastroenterology.

[3]  Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 22-2001. A 25-year-old woman with fever and abnormal liver function. , 2001, The New England journal of medicine.

[4]  T. Karayel,et al.  Hepatic sarcoidosis: clinicopathologic features in thirty-seven patients. , 2000, Journal of clinical gastroenterology.

[5]  J. Rygaard,et al.  Histologic, cytologic, and bacteriologic examinations of experimentally induced Salmonella typhimurium infection in Lewis rats. , 2000, Comparative medicine.

[6]  C. Pramoolsinsap,et al.  Salmonella hepatitis , 1998, Journal of gastroenterology and hepatology.

[7]  T. Reynolds,et al.  Salmonella hepatitis: Analysis of 27 cases and comparison with acute viral hepatitis , 1996, Hepatology.

[8]  J. Skepper,et al.  Effect of anti-tumor necrosis factor alpha antibodies on histopathology of primary Salmonella infections , 1995, Infection and immunity.

[9]  B. Shin,et al.  Bone marrow pathology of culture proven typhoid fever. , 1994, Journal of Korean medical science.

[10]  M. Satti,et al.  Hepatic granuloma in Saudi Arabia: a clinicopathological study of 59 cases. , 1990, The American journal of gastroenterology.

[11]  J. Guerra-Vales,et al.  Significance of granulomas in bone marrow: A study of 40 cases , 1988, European journal of haematology.

[12]  J. Bartlett,et al.  Extra‐Intestinal Manifestations of Salmonella Infections , 1987, Medicine.

[13]  P. Pais A hepatitis like picture in typhoid fever. , 1984, British medical journal.

[14]  H. Dupont,et al.  Typhoid fever: pathogenesis and immunologic control. , 1970, The New England journal of medicine.

[15]  H. Dupont,et al.  Typhoid fever: pathogenesis and immunologic control. 2. , 1970, The New England journal of medicine.