A case of typhoid fever with manifestations of acute hepatitis / 대한내과학회지
Korean Journal of Medicine
;
: 77-81, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-164623
ABSTRACT
Typhoid fever is a febrile illness with a variety of systemic manifestations; however, icteric typhoid hepatitis, mimicking the clinical features of acute hepatitis, is very uncommon. A 45-year-old man was admitted to the hospital for evaluation of fever, dark-colored urine, and jaundice. On admission, the total bilirubin was 4.3 mg/dL, and the AST and ALT were 468 and 319 IU/L, respectively. Salmonella typhi was identified by blood culture. A liver biopsy revealed some mononuclear cell infiltrations without hepatocyte necrosis or typhoid nodules. CT scan findings showed splenomegaly and mesenteric lymphadenopathy. With the administration of ceftriaxone, he became afebrile and showed improvement in the jaundice, with normalization of AST and ALT.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Salmonella typhi
/
Esplenomegalia
/
Febre Tifoide
/
Bilirrubina
/
Biópsia
/
Ceftriaxona
/
Hepatócitos
/
Febre
/
Hepatite
/
Icterícia
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2008
Tipo de documento:
Artigo
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