Today was an exciting day for me at the hospital....... here's why.
I have been taking care of a 19 year old who has had 10 days of fever - real fever, as high as 104 degrees. He is from El Salvador and he was detained by the Border Patrol. While in the detainee facility he gets a bad fever. They give tylenol. It comes back. This went on for a few days and then they brought him to our Emergency Department.
He had new symptoms - no cough, rashes, diarrhea, etc, etc.... it was quite a mystery but he had some laboratory values that were consistent with a disease called Typhus, which is very common down here.
We started the treatment for typhus and followed him through the week. He didn't get better. I was contacted by some local government workers and I described the situation. When I mentioned typhus it got mentioned in a report which ended up with someone in Washington, DC. So then I got a call from the regional health director concerned that our pt had some communicable disease similar to the plague...........
Anyway, yesterday our blood cultures confirmed the bacteria, not typhus but typhoid, a salmonella species. This is what causes Typhoid fever. We treated it. He is better. Hopefully no one else will get sick. It was definitely a good way to end the week.