Cases reported "Paratyphoid Fever"

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1/45. Renal amyloidosis with nephrotic syndrome in two patients with schistosomiasis mansoni and chronic salmonellosis.

    This report describes two Egyptian patients who presented with the nephrotic syndrome and concurrent infections with schistosoma mansoni and salmonella paratyphi a. Unlike similar cases previously reported from this unit, these patients did not respond to antimicrobial and antischistosomal therapy, and their renal biopsies demonstrated amyloidosis. These two case reports and several experimental observations suggest that chronic schistosomiasis and salmonellosis may lead to secondary amyloidosis in susceptible individuals. ( info)

2/45. acalculous cholecystitis caused by salmonella paratyphi b infection in a child with acute pre-B-cell lymphoblastic leukemia.

    Acute acalculous cholecystitis (AC) rarely occurs in children with acute leukemia. The principal treatment modality of AC is emergency surgery. Medical treatment of AC is not a good therapeutic approach. The mortality rate of AC is approximately 100% for medical treatment and 10-15% for emergency surgery. A 9-year-old boy with acute pre-B-cell lymphoblastic leukemia and AC caused by salmonella paratyphi b infection is presented. He was successfully treated with cefepime, amikacin, and granulocyte-colony stimulating factor (G-CSF). These treatment combinations led to uneventful recovery after 21 days. It appears that AC in children with acute leukemia may be treated with appropriate intravenous antibiotics. This may be the first case of AC caused by salmonella paratyphi b infection reported in a child with acute pre-B-cell lymphoblastic leukemia. ( info)

3/45. sepsis and multiple brain abscesses caused by salmonella paratyphi b in an infant: successful treatment with sulbactam-ampicillin and surgical drainage.

    abscess formation by Salmonella species is an uncommon but significant manifestation of salmonellosis, because this type of infection has high morbidity and mortality rates and is a potential nosocomial hazard. In infants, history of consumption of contaminated water should be especially quired. We report a case who had sepsis and multiple brain abscesses due to salmonella paratyphi b and who responded to sulbactam-ampicillin (SAM) therapy. sulbactam-ampicillin combination may be preferable due to its immunomodulator effect. ( info)

4/45. 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. ( info)

5/45. 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. ( info)

6/45. 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. ( info)

7/45. 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. ( info)

8/45. 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. ( info)

9/45. 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. ( info)

10/45. 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. ( info)
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