SEPTIC SHOCK WITH COMA AS DIAGNOSIS OF TYPHOID-FEVER

Citation
E. Hazouard et al., SEPTIC SHOCK WITH COMA AS DIAGNOSIS OF TYPHOID-FEVER, La Presse medicale, 27(25), 1998, pp. 1275-1276
Citations number
10
Categorie Soggetti
Medicine, General & Internal
Journal title
ISSN journal
07554982
Volume
27
Issue
25
Year of publication
1998
Pages
1275 - 1276
Database
ISI
SICI code
0755-4982(1998)27:25<1275:SSWCAD>2.0.ZU;2-V
Abstract
BACKGROUND: Typhoid lever may be difficult to distinguish from malaria . Septic shock, ence phalopathy and leukopenia are common features of both diseases. CASE REPORT: A 20-year-old South Korean woman was admit ted to the intensive care unit with coma and shock. Vomiting and abdom inal pain were followed by headache, prostration, fever and diarrhea, Leukocytopenia, lymphocytopenia, thrombocytopenia, rhabdomyolysis and hepatitis were present. Clotting tests were normal. The thick peripher al blood film was negative. Salmonella typhi was isolated from 6 blood cultures. Treatment associated ceftriaxone 4 g per day for 5 days, co lloid and crystalloid fluids and dopamine. The patient was discharged 2 weeks rarer. DISCUSSION: Typhoid fever should be considered as a dia gnosis in patients with sepsis who come from endemic zones. Abdominal symptoms, prolonged fever, coma and delayed headache are particularly contributive signs. Specific treatment should be instituted.