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Salmonella Paratyphi and multiorgan dysfunction: A rare case report.

Manish Kumar1, Ashok Sunder1

  • 1Department of General Medicine, Tata Main Hospital, Tata Steel, Jamshedpur, Jharkhand, India.

Journal of Family Medicine and Primary Care
|January 9, 2023
PubMed
Summary

Typhoidal Salmonella, including Salmonella Typhi and Salmonella Paratyphi A, cause serious enteric fevers. This case highlights a severe Salmonella Paratyphi A infection with multiorgan dysfunction, emphasizing the need for vigilance.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Salmonella Typhi and Salmonella Paratyphi A cause typhoid and paratyphoid fevers, respectively.
  • These bacteria are human-adapted pathogens transmitted via contaminated water.
  • Clinical presentations range from mild to severe, often mimicking other febrile illnesses.

Observation:

  • Salmonella Paratyphi A typically causes mild disease.
  • A complicated case of Salmonella Paratyphi A infection presented with fever and gastrointestinal symptoms.
  • The patient developed multiorgan dysfunction requiring intensive care, including mechanical ventilation and hemodialysis.

Findings:

  • Despite the severity, the patient recovered fully from the multiorgan dysfunction.
  • The case underscores the potential for severe complications from Salmonella Paratyphi A infections.
Keywords:
BicytopeniaParatyphiSalmonellapancreatitisrhabdomyolysis

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  • Prompt and intensive medical support was crucial for patient survival and recovery.

    • Implications:

    • This case emphasizes that Salmonella Paratyphi A can cause severe, life-threatening illness.
    • It highlights the importance of considering enteric fevers in differential diagnoses for febrile syndromes.
    • Effective management of severe cases requires comprehensive intensive care interventions.