Case Study and Case Report 2024; 14(2): 13 - 15.

Daungsupawong S, Daungsupaong R. Typhoid Fever Presenting with Abnormal Urination: A Case Report. Case Study and Case Report 2024; 14(2): 13 - 15. ABSTRACT Typhoid fever, caused by Salmonella enterica serotype Typhi, is a systemic infection that typically presents with prolonged fever, abdominal pain, and gastrointestinal symptoms. However, rare and atypical presentations can occur, leading to diagnostic challenges. This case report describes a 32-year-old male who presented with a 7-day history of fever, abdominal discomfort, and abnormal urination characterized by dysuria and hematuria. Laboratory tests confirmed a diagnosis of typhoid fever through positive blood culture for Salmonella Typhi. The patient’s abnormal urination was likely secondary to typhoid-induced systemic inflammation, which may have contributed to urinary tract irritation and hematuria. He was successfully treated with appropriate antibiotics and showed complete resolution of both systemic and urinary symptoms. This case underscores the importance of considering typhoid fever in the differential diagnosis of urinary symptoms, especially in endemic areas, as atypical presentations may delay the correct diagnosis. Keywords: Typhoid fever, abnormal urination, dysuria