Which clinical finding is sometimes observed in enteric fever due to Salmonella Typhi?

Which clinical finding is sometimes observed in enteric fever due to Salmonella Typhi?

• A. Rose-colored spots on the trunk
• B. Rash on the face only
• C. Bloody diarrhea as the sole feature
• D. Jaundice without other symptoms

Answer: (C)

In enteric fever from Salmonella Typhi, a rash known as rose spots can appear, often during the second week of illness. These are faint pink to rose-colored macules that most commonly show on the trunk and chest and are a classic, though not universal, clue in typhoid fever. This makes the finding of rose-colored spots on the trunk a plausible and exam-relevant feature that can help distinguish typhoid from other febrile illnesses. Bloody diarrhea as the sole feature isn’t typical for typhoid; diarrhea can occur but is not usually the only presenting sign and is not characteristically bloody. Rash limited to the face is not a characteristic pattern of typhoid, and jaundice without other symptoms isn’t a usual standalone finding in this disease.

In enteric fever from Salmonella Typhi, a rash known as rose spots can appear, often during the second week of illness. These are faint pink to rose-colored macules that most commonly show on the trunk and chest and are a classic, though not universal, clue in typhoid fever. This makes the finding of rose-colored spots on the trunk a plausible and exam-relevant feature that can help distinguish typhoid from other febrile illnesses. Bloody diarrhea as the sole feature isn’t typical for typhoid; diarrhea can occur but is not usually the only presenting sign and is not characteristically bloody. Rash limited to the face is not a characteristic pattern of typhoid, and jaundice without other symptoms isn’t a usual standalone finding in this disease.