Cases reported "Paratyphoid Fever"

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1/24. Post-coronary artery bypass surgery pericardial abscess: salmonella paratyphi b.

    Endemic enteric fever is one of the major health problems in South asia where focal pyogenic infections with salmonella are being increasingly reported. A pericardial abscess following coronary artery bypass surgery with salmonella paratyphi b was successfully treated, the first reported case so far.
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ranking = 1
keywords = fever
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2/24. An unusual paratyphoid fever.

    salmonella typhi is known to produce acalculous cholecystitis and related gall bladder perforation. Following is a documentation of a patient of sub-phrenic abscess and gall bladder perforation which was possibly a result of salmonella paratyphi a.
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ranking = 16644999.425786
keywords = paratyphoid, paratyphoid fever, fever
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3/24. pancreatitis in enteric fever.

    pancreatitis in enteric fever is rare. We report two patients with enteric fever, one due to salmonella typhi infection and other due to S. paratyphi, who on investigation were found to have pancreatitis. Both patients recovered uneventfully.
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ranking = 6
keywords = fever
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4/24. endocarditis and pericarditis caused by salmonella paratyphi a: two case reports and review of the literature.

    We report on two children with paratyphoid fever and rare cardiac complications (endocarditis and pericarditis) during an outbreak of salmonella paratyphi a infection in Bangkok, thailand, in 1996. Both of the patients had underlying congenital heart disease. Two cases in the literatures of endocarditis and five cases of pericarditis caused by Salmonella paratyphi were reviewed. These rare cardiac complications should be considered among persons who reside in an endemic area of enteric fever or during disease outbreaks, especially in children with underlying heart diseases.
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ranking = 4161250.8564465
keywords = paratyphoid, paratyphoid fever, fever
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5/24. pleural effusion in complicated salmonella paratyphi a infection.

    Enteric fever can present with unusual manifestations. We observed a rare case of salmonella paratyphi a infection in which multiple organs were involved and the organism was isolated from pleural fluid and blood. In the present era of antimicrobial drug resistance, awareness about such atypical presentations is essential to initiate a prompt treatment.
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ranking = 1
keywords = fever
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6/24. Lipschutz genital ulceration: a rare manifestation of paratyphoid fever.

    In 1913, a distinctive clinical entity of acute genital ulcer occurring in an adolescent girl with a non-venereal infectious aetiology was described by Lipschutz. Since the initial description, several aetiologies have been discussed, and among them, paratyphoid fever is very uncommon. After her return from a trip, a 25-year-old girl developed high fever and diarrhoea. Examination of the vulva revealed a genital ulcer. The rest of the general examination was normal. blood cultures identified salmonella paratyphi a, and a diagnosis of Lipschutz's ulcer associated with paratyphoid fever was made. Bacteriaemia was then treated with antibiotics and the vulvar ulceration rapidly disappeared. Lipschutz described a distinctive clinical entity of acute genital ulcers occurring in adolescents. To our knowledge, we report herein the second case associated with proved paratyphoid fever. The authors thus recommend that typhoid or paratyphoid fever should be included in the differential diagnosis of genital ulcerations.
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ranking = 33289999.851572
keywords = paratyphoid, paratyphoid fever, fever
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7/24. Hepatic abscess complicating paratyphoid infection.

    Salmonellosis is ubiquitous and is a world-wide public health concern. Liver abscesses are occasionally reported in salmonella typhi infections, they are a very rare complication of Salmonella paratyphi infections. A 28 year old male patient without any prior medical history presented with fever, abdominal pain and a tender hepatomegaly. The imaging studies revealed multiple liver abscesses and an ultrasound (US) guided aspiration of the abscess yielded heavy growth of salmonella paratyphi a. He was treated successfully by percutaneous drainage of the abscesses and appropriate antibiotics.
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ranking = 8345353.2030483
keywords = paratyphoid, fever
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8/24. Eradication of a multiple drug resistant salmonella paratyphi a causing meningitis with ciprofloxacin.

    A previously healthy breast-fed baby was admitted at 10 days of age to a hospital in the north of pakistan with diarrhoea and fever. He was treated for suspected sepsis with intravenous cefotaxime and tobramycin. Cultures of blood and faeces at that time proved negative. At 12 days of age, seizures began and examination of CSF revealed evidence of pyogenic meningitis but bacteria were neither seen microscopically nor isolated in culture. ceftazidime was substituted for cefotaxime and carbenicillin was given also. Since the baby's condition continued to deteriorate with persistent fever, vomiting and recurrent seizures, he was transferred to the Aga Khan University Hospital, Karachi. Examination of CSF there confirmed the diagnosis of pyogenic meningitis and revealed gram-negative bacteria. Cultures of CSF and faeces yielded salmonella paratyphi a but the blood culture was negative. The isolate was found to be multiple antimicrobially resistant but sensitive to ciprofloxacin. Treatment with this drug was therefore started 3 days after the baby's admission to the Aga Khan Hospital. Within 36 h, improvement was observed. From then onwards, the baby made a progressive recovery and was healthy when seen at 7 months of age.
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ranking = 2
keywords = fever
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9/24. Unusual presentation of enteric fever: three cases of splenic and liver abscesses due to salmonella typhi and salmonella paratyphi a.

    Enteric fever is a multisystem disorder caused mainly by salmonella typhi and salmonella paratyphi a. It continues to be a major public health problem, especially in developing countries. Unusual presentations of Salmonellosis are rare. We report 3 such cases of young adult males, one of splenic abscess due to salmonella typhi and one each of liver abscess due to salmonella typhi and salmonella paratyphi a. A brief review of the literature pertaining to the cases is also given.
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ranking = 5
keywords = fever
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10/24. salmonella paratyphi a enteric fever mimicking viral meningitis.

    Enteric fevers are caused by invasive strains of Salmonella. Classic enteric fever is caused by S. typhi and usually less severe enteric fevers are caused by S. paratyphi A, B, or C. We present a case of S. paratyphi A enteric fever aseptic meningitis. headache was so prominent in the case presented that a lumbar puncture was performed to rule out meningitis. Rose spots were not apparent in this dark-skinned patient. Our patient did not have increased serum transaminases and did not have leukopenia, which are common findings in enteric fever. The absence of these findings and the relative bradycardia may be explained by the antimicrobial therapy the patient received before admission. After ruling out malaria, clinicians should suspect enteric fever in patients recently returning from endemic areas, in patients presenting with acute fevers without localizing signs.
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ranking = 11
keywords = fever
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