E-ISSN 2617-9784 | ISSN 2617-1791
 
2021, Vol: 4, Issue: 2
4 / 2Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Author Declaration Form

Case Report
Online Published: 10 Apr 2020
 


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 10–30%. This number has been reduced to 1–4% 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


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Sabahat Fatima
Articles by Zoya Yaseen
Articles by Aisha Nazeer
Articles by Saima Salman
Articles by Syed Ghazanfar Saleem
on Google
on Google Scholar


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. https://www.sajem.org/?mno=68576 [Access: September 12, 2024]. 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 September 12, 2024]; 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


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernStatement of Informed ConsentAdvertising PolicyLicense InformationCopyright Information

About South Asian Journal of Emergency Medicine

South Asian Journal of Emergency Medicine (SAJEM) is an international, peer-reviewed journal which is published bi-annually. Emergency Medicine is a new ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


For any further information, please email at info@sajem.org