Introduction
Typhoid fever is endemic in the tropics, however the prevalence is difficult to estimate since many febrile illnesses like malaria present similarly[1]. Humans are the only natural host and reservoir of Salmonella Typhi (S Typhi) and it is transmitted by the faecal oral route[1]. In endemic areas like Uganda, it is common in the age group of 5 to 19 years, predominately in children due possibly to their immature immune system[2]. Gangrenous cholecystitis is rare sequelae of acalculous cholecystitis occurring in patients with typhoid fever. We present a case of a complicated typhoid fever in a child.