Article ID: 2014-28
Background. In developed countries, typhoid fever is a travel-associated disease that is often overlooked. However, as standard blood and stool culture methods have relatively low sensitivity, diagnosis weighs heavily on clinical signs and symptoms, and a high index of suspicion. Methods. A case is reported of an 18-year-old male who presented with fevers and acute scrotal ulcers, in which blood cultures were positive for Salmonella enterica serotype Typhi. A literature review of genital ulcers associated with typhoid is discussed. Conclusion. This report supports typhoid fever as a differential diagnosis of acute genital ulcers.
Proceedings of the Japan Society of Tropical Medicine
