Sensorineural hearing loss as an atypical presentation of typhoid fever: A case report.

This article focuses on an atypical presentation of typhoid fever, also known as enteric fever, manifesting as sensorineural hearing loss in a young male patient. Typhoid fever is primarily caused by Salmonella enterica serotype Typhi and typically presents with fever, abdominal pain, and constipation, but can lead to severe complications if untreated. The reported case involved a 23-year-old man with fever and hearing loss, whose blood cultures confirmed Salmonella Typhi infection sensitive to first-line antibiotics. Treatment with intravenous ceftriaxone and oral azithromycin led to significant improvement in both fever and hearing without the use of steroids. The article notes that atypical manifestations of typhoid fever occur in nearly half of culture-positive adults in South India, with sensorineural hearing loss being a rare but documented complication.