{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T22:10:52Z","timestamp":1771971052214,"version":"3.50.1"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p> In a United Nations (UN) staff member headquarters in South Sudan, we present a rare typhoid fever complicated by syncope due to relative bradycardia. A 25-year-old male presented to our hospital with a high fever, diarrhea, and no vomiting. He had no substantial medical background. He was diagnosed with an unspecified digestive disorder and received initial treatment. Two syncope episodes were recorded in the Level 1 hospital. He was referred to our hospital at the 30th hour and the third fainting occurred. Electrocardiogram showed bradycardia with a heart rate of 40 beats\/min. The atropine test was negative; the initial diagnosis was sinus sickness syndrome. Microbiology tests later suggested typhoid infection. Then, the diagnosis changed to relative bradycardia caused by Salmonella typhi; and he was orally treated with the third-generation Quinolone antibiotic. He significantly improved and got discharged on the seventh day. In conclusion, typhoid remains a real and present threat to UN staff and civilians in South Sudan. <\/jats:p>","DOI":"10.1177\/2050313x231177108","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T07:22:29Z","timestamp":1685344949000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Typhoid fever, complicated by syncope due to relative bradycardia: A case report"],"prefix":"10.1177","volume":"11","author":[{"given":"Tam Van","family":"Nguyen","sequence":"first","affiliation":[{"name":"Emergency Department, Military Hospital 103, Vietnam Military Medical University, Hanoi, Vietnam"},{"name":"Outpatient Department, Vietnam Level 2 Hospital, Bentiu, South Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quan Van","family":"Le","sequence":"additional","affiliation":[{"name":"Functional Diagnostics Department, Military Hospital 103, Vietnam Military 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Vietnam Military Medical University, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tien Viet","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Military Hospital 103, Vietnam Military Medical University, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2633-583X","authenticated-orcid":false,"given":"Tuan","family":"Dinh Le","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Endocrinology, Military Hospital 103, Vietnam Military Medical University, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thang Canh","family":"Tran","sequence":"additional","affiliation":[{"name":"Functional Diagnostics Department, Military Hospital 103, Vietnam Military Medical University, Hanoi, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linh 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