E-ISSN 2617-9784 | ISSN 2617-1791
 

Case Report 


An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS

Sabahat Fatima, Zoya Yaseen, Aisha Nazeer, Saima Salman, Syed Ghazanfar Saleem.

Abstract
Abstract:
Enteric fever is an infection caused by Salmonella enterica serovar Typhi (gram-negative bacteria). Its incidence is increasing globally and South Asia has highest incidence and burden of disease.Enteric fever has a case-fatality rate of 1030%. This number has been reduced to 14% with appropriate management.The common gastrointestinal manifestation of enteric fever includes hepatosplenomegaly, jaundice, GI hemorrhage, intestinal perforation and acalculous cholecystitis. Septic shock and acute respiratory distress syndrome (ARDS) are one of the rarely reported. Following is the case report of ARDS and pulmonary hemorrhage in XDR enteric fever. 25 years old female, presented in our Emergency department with complaint of: upper abdominal pain and vomiting for 15 days followed by fever and acute onset of Shortness of breath for 1 day. On arrival she was hemodynamically unstable. Spo2 82% at room air, was initally taken on CPAP then electively intubated for mechanical ventilation. CT scan chest showed diffused alveolar hemorrhage and blood cultures showed growth of extended resistant salmonella typhi sensitive to carbapenems and azithromycin. Patient remained admitted in ICU for 33 days, improved and discharged.The case highlights significance of early recognition of respiratory symptoms in patient with enteric fever.

Key words: enteric fever , neuropathy, pulmonary hemorrhage


 
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How to Cite this Article
Pubmed Style

SF, ZY, Nazeer A, Salman S, Saleem SG. An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. SAJEM. 2020; 3(1): 55-58. doi:10.5455/sajem.030102


Web Style

SF, ZY, Nazeer A, Salman S, Saleem SG. An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. http://www.sajem.org/?mno=68576 [Access: May 29, 2020]. doi:10.5455/sajem.030102


AMA (American Medical Association) Style

SF, ZY, Nazeer A, Salman S, Saleem SG. An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. SAJEM. 2020; 3(1): 55-58. doi:10.5455/sajem.030102



Vancouver/ICMJE Style

SF, ZY, Nazeer A, Salman S, Saleem SG. An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. SAJEM. (2020), [cited May 29, 2020]; 3(1): 55-58. doi:10.5455/sajem.030102



Harvard Style

, S. F., , . Z. Y., Nazeer, . A., Salman, . S. & Saleem, . S. G. (2020) An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. SAJEM, 3 (1), 55-58. doi:10.5455/sajem.030102



Turabian Style

, Sabahat Fatima, Zoya Yaseen, Aisha Nazeer, Saima Salman, and Syed Ghazanfar Saleem. 2020. An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. South Asian Journal of Emergency Medicine, 3 (1), 55-58. doi:10.5455/sajem.030102



Chicago Style

, Sabahat Fatima, Zoya Yaseen, Aisha Nazeer, Saima Salman, and Syed Ghazanfar Saleem. "An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS." South Asian Journal of Emergency Medicine 3 (2020), 55-58. doi:10.5455/sajem.030102



MLA (The Modern Language Association) Style

, Sabahat Fatima, Zoya Yaseen, Aisha Nazeer, Saima Salman, and Syed Ghazanfar Saleem. "An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS." South Asian Journal of Emergency Medicine 3.1 (2020), 55-58. Print. doi:10.5455/sajem.030102



APA (American Psychological Association) Style

, S. F., , . Z. Y., Nazeer, . A., Salman, . S. & Saleem, . S. G. (2020) An unusual case of extensive drug-resistant (XDR) enteric fever with ARDS. South Asian Journal of Emergency Medicine, 3 (1), 55-58. doi:10.5455/sajem.030102