Rationale:Enteric fever is a major public health problem in developing and underdeveloped counties.Extraintestinal manifestations in typhoid are estimated in 27%cases and are associated with severe and complicated dis...Rationale:Enteric fever is a major public health problem in developing and underdeveloped counties.Extraintestinal manifestations in typhoid are estimated in 27%cases and are associated with severe and complicated diseases.Patients concerns:We report three cases of enteric fever with rare extra intestinal manifestations.Diagnoses:Enteric fever with acute motor-sensory axonal neuropathy,enteric fever with myocarditis,and enteric fever with splenic vein thrombosis.Interventions:All patients were treated with antibiotics.Additionally,Patient 1 was treated with桇immunoglobulin;Patient 2 was treated with vasopressors and anti-cardiac remodeling drugs like ramipril and metoprolol;Patient 3 was treated with anticoagulation with low molecular weight heparin.Outcomes:All patients improved clinically and were followed up on outpatient.Lessons:The diagnosis of enteric fever is challenging and there is an urgent need for prompt-targeted management for better outcomes.Especially in endemic zones and in non-endemic zones as a disease of emporiatric significance.展开更多
文摘Rationale:Enteric fever is a major public health problem in developing and underdeveloped counties.Extraintestinal manifestations in typhoid are estimated in 27%cases and are associated with severe and complicated diseases.Patients concerns:We report three cases of enteric fever with rare extra intestinal manifestations.Diagnoses:Enteric fever with acute motor-sensory axonal neuropathy,enteric fever with myocarditis,and enteric fever with splenic vein thrombosis.Interventions:All patients were treated with antibiotics.Additionally,Patient 1 was treated with桇immunoglobulin;Patient 2 was treated with vasopressors and anti-cardiac remodeling drugs like ramipril and metoprolol;Patient 3 was treated with anticoagulation with low molecular weight heparin.Outcomes:All patients improved clinically and were followed up on outpatient.Lessons:The diagnosis of enteric fever is challenging and there is an urgent need for prompt-targeted management for better outcomes.Especially in endemic zones and in non-endemic zones as a disease of emporiatric significance.
