Fulminant hepatic failure caused by Salmonella paratyphi A infection

We report a case of fulminant hepatic failure associated with Salmonella paratyphi A infection, in a 29-yearold patient who was admitted to the intensive care unit (ICU) with fever of two days, headache and vomiting followed by behavioural changes and disorientation. On examination, the patient appe...

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Veröffentlicht in:World journal of gastroenterology : WJG 2006-08, Vol.12 (32), p.5253-5255
Hauptverfasser: Khan, Fahmi Yousef, Kamha, Ahmed A, Alomary, Ibrahim Y
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container_title World journal of gastroenterology : WJG
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creator Khan, Fahmi Yousef
Kamha, Ahmed A
Alomary, Ibrahim Y
description We report a case of fulminant hepatic failure associated with Salmonella paratyphi A infection, in a 29-yearold patient who was admitted to the intensive care unit (ICU) with fever of two days, headache and vomiting followed by behavioural changes and disorientation. On examination, the patient appeared acutely ill, agitated, confused, and deeply jaundiced. Temperature 38.5℃, pulse 92/min, blood pressure 130/89 mmHg. Both samples of blood grew S. paratyphi A, which was sensitive to ceftriaxone and ciprofloxacin. Ceftriaxon was administered with high-dose dexamethasone. Two weeks after treatment with ceftriaxon, the patient was discharged in satisfactory condition.
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source MEDLINE; PubMed Central; Alma/SFX Local Collection
subjects Adult
Anti-Bacterial Agents - pharmacology
Anti-Infective Agents - pharmacology
Case Report
Ceftriaxone - pharmacology
Ciprofloxacin - pharmacology
Dexamethasone - pharmacology
Glucocorticoids - pharmacology
Humans
Liver Failure, Acute - microbiology
Male
Paratyphoid Fever - complications
Paratyphoid Fever - pathology
Salmonella paratyphi A - metabolism
沙门氏菌属
细菌感染
肝功能障碍
title Fulminant hepatic failure caused by Salmonella paratyphi A infection
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