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Salmonella Typhosa Infection in a 68-Year-Old Invalid

Alfred K. Neumann, MD, MPH
JAMA. 1963;186(11):1022-1023. doi:10.1001/jama.1963.63710110024018b.
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A CASE OF salmonella typhosa infection was discovered in a 68-year-old female invalid residing in Boston. This case illustrates that typhoid fever is apt to appear under highly unlikely circumstances. It also underscores the need for close attention to the problems of the elderly. Lastly, it indicates a need to locate carriers, in this case, a neat grandmother with no knowledge of her carrier status.

Report of a Case  On Oct 7, 1961, a 68-year-old white female was admitted by ambulance to a local hospital with a chief complaint of headache, malaise, myalgia, and dizziness of at least 24 hours' duration. This had been preceded by a week's history of low-grade fever, progressive malaise, headache, anorexia, polyuria, and dysuria. In addition there was an 8-week history of itching and peeling of the skin of the palms and toes. History included the following: mild diabetes of at least several years' duration


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