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Lipid profile in enteric fever.

S N Khosla1, N Goyle, R K Seth

  • 1Department of Medicine, Medical College, Rhotak (Haryana).

The Journal of the Association of Physicians of India
|March 1, 1991
PubMed
Summary
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Enteric fever significantly alters lipid profiles, causing high triglycerides and abnormal cholesterol levels during illness. These lipid changes in Salmonella typhi infection normalize upon patient recovery.

Area of Science:

  • Infectious Diseases
  • Clinical Biochemistry
  • Internal Medicine

Background:

  • Lipid profile alterations are documented in severe sepsis.
  • Limited research exists on lipid level changes in enteric fever.
  • Salmonella typhi infection presents unique challenges in understanding metabolic disturbances.

Purpose of the Study:

  • To investigate and characterize lipid profile changes in patients with enteric fever.
  • To compare lipid levels in enteric fever patients with those suffering from non-enteric fevers.
  • To elucidate the dynamic nature of lipid variations during Salmonella typhi infection.

Main Methods:

  • A case-control study design was employed.
  • Twenty patients diagnosed with enteric fever were enrolled across various age groups and sexes.

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  • A control group of twenty patients with non-enteric fever, matched for age and sex, was included for comparison.
  • Lipid profiles, including triglyceride, HDL-cholesterol, and LDL-cholesterol levels, were analyzed.

    • Main Results:

    • Patients with enteric fever exhibited severe and prolonged hypertriglyceridemia.
    • A significant decrease in High-Density Lipoprotein (HDL)-cholesterol levels was observed.
    • Low-Density Lipoprotein (LDL)-cholesterol levels were found to be elevated during the peak of enteric fever.
    • Lipid profiles normalized in enteric fever patients following recovery and convalescence.

    Conclusions:

    • Enteric fever, caused by Salmonella typhi, induces significant and complex alterations in lipid metabolism.
    • The observed hypertriglyceridemia and dyslipidemia are characteristic of the acute phase of enteric fever.
    • Monitoring lipid profiles may offer insights into the metabolic impact of Salmonella typhi infections.