Typhoid fever presenting as multi organ dysfunction syndrome

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HEMOPHAGOCYTIC SYNDROME IN TYPHOID FEVER AND BRUCELLOSIS

Hemophagocytic syndrome is a non-malignant process that is characterized clinically by fever, hepatomegaly, splenomegaly, pancytopenia in peripheral blood, and reactive histiocytes in the bone marrow. Bacterial infectious diseases like typhoid fever and brucellosis and viral infections including CMV, herpes viruses, and Epstein-Barr virus are diagnosed as the cause of this syndrome. In thi...

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Acute Multi Organ Dysfunction Syndrome

Severe sepsis and multiorgan dysfunction syndrome may develop in the course of severe sepsis, intoxication, poisoning, crush injury, asystole, drowning, and several other complications. When normal intensive care is insufficient despite vasoactive drugs, respiratory aid, and dialysis, the risk for death is extremely high. Only very little benefit has been noted in various trials using drug admi...

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Pseudo-thrombotic thrombocytopenic purpura presenting as multi-organ dysfunction syndrome: A rare complication of pernicious anemia

OBJECTIVE We present a rare case of pernicious anemia presented as multi-organ dysfunction syndrome, later found to have pseudo-thrombotic thrombocytopenic purpura. METHODS An 86-year-old female presented with respiratory distress, altered mental status, acute renal failure and was intubated in emergency room. She was found to have severe anemia, thrombocytopenia, high lactate, high lactate d...

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Typhoid fever presenting as a depressive disorder--a case report.

CONTEXT Neuropsychiatric complications associated with typhoid fever are relatively common in the tropics; however, typhoid fever with associated depression is rare and can present a diagnostic challenge to rural clinicians. ISSUE This case report describes a 12 year old female with no documented psychiatric history who developed signs and symptoms of delirium with depressive elements while a...

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Typhoid fever presenting as acute cerebellar ataxia and severe thrombocytopenia.

Typhoid fever being a systemic infection can present in a multitude of ways, involving various systems. Here we describe a case of typhoid fever presenting with acute cerebellar ataxia and marked thrombocytopenia. This atypical presentation is not common in typhoid fever and can lead to misdiagnosis as well as a delay in the initiation of appropriate therapy. Prompt clinical improvement and the...

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ژورنال

عنوان ژورنال: Journal of Pediatric Critical Care

سال: 2019

ISSN: 2349-6592

DOI: 10.21304/2019.0603.00507