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This article has been peer reviewed. It is the authors' final version prior to publication in Delaware Medical Journal Volume 64, Issue 10, October 1992, Pages 615-617. © Medical Society of Delaware.


The majority of cases of childhood typhoid fever diagnosed in the United States occur in persons recently returned from travel abroad. We report two childhood cases of typhoid fever acquired in Mexico and India and diagnosed in an urban United States setting. This report describes these cases and provides insights into the pitfalls in recognizing this condition in a nonendemic setting as well as information concerning differential diagnosis and treatment.