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Abstract
Adult respiratory distress syndrome (ARDS) is rarely reported in association with
typhoid fever despite the fact that sepsis is a common manifestation and endotoxemia
has been described in this multisystem condition. We describe the course of a patient
with ARDS and typhoid fever. With conventional treatment of the lung injury and with
specific antimicrobial therapy, the patient survived. Recent consensus definitions
of sepsis and ARDS simplified reporting of this case. Clinicians caring for individuals
from or recent visitors to developing countries should be aware of the association
of typhoid fever, sepsis, and ARDS.