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Case Reports
. 2006 Aug 28;12(32):5253-5.
doi: 10.3748/wjg.v12.i32.5253.

Fulminant hepatic failure caused by Salmonella paratyphi A infection

Fahmi Yousef Khan  1 , Ahmed A Kamha, Ibrahim Y Alomary
Affiliations
Case Reports

Fulminant hepatic failure caused by Salmonella paratyphi A infection

Fahmi Yousef Khan et al. World J Gastroenterol. .

Abstract

We report a case of fulminant hepatic failure associated with Salmonella paratyphi A infection, in a 29-year-old 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 degrees of C, 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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