A patient with typhoid fever, gastroenteritis and hepatitis E
Marked elevation of transaminases is rare in typhoid enteric fever. Co-infections with hepatitis A or E, dengue, or other pathogens should be suspected and investigated. Here we report a case of a 29-year-old Bangladesh man who presented with typhoid, hepatitis E and Giardia lamblia complicated by s...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2016-03-01
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| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/2010105815615999 |
| _version_ | 1818347309181698048 |
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| author | Qing Zhang Jonathan Guo Xiang Teh Webber Pak Wo Chan |
| author_facet | Qing Zhang Jonathan Guo Xiang Teh Webber Pak Wo Chan |
| author_sort | Qing Zhang |
| collection | DOAJ |
| description | Marked elevation of transaminases is rare in typhoid enteric fever. Co-infections with hepatitis A or E, dengue, or other pathogens should be suspected and investigated. Here we report a case of a 29-year-old Bangladesh man who presented with typhoid, hepatitis E and Giardia lamblia complicated by severely deranged liver enzymes. With early institution of antibiotics and active supportive treatment, the patient clinically recovered. The underlying mechanism of co-infection is still not clear. As clinicians, comprehensive workup for potential pathogens helps expedite diagnosis, especially in patients from endemic areas or patients who deteriorate rapidly. Current diagnostic methods, treatment modalities and preventive measures still need to be improved in the future. |
| first_indexed | 2024-12-13T17:32:07Z |
| format | Article |
| id | doaj.art-d9642f69cf0b4753a6fd25734d515e73 |
| institution | Directory Open Access Journal |
| issn | 2010-1058 2059-2329 |
| language | English |
| last_indexed | 2024-12-13T17:32:07Z |
| publishDate | 2016-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-d9642f69cf0b4753a6fd25734d515e732022-12-21T23:37:01ZengSAGE PublishingProceedings of Singapore Healthcare2010-10582059-23292016-03-012510.1177/2010105815615999A patient with typhoid fever, gastroenteritis and hepatitis EQing Zhang0Jonathan Guo Xiang Teh1Webber Pak Wo Chan2Department of Internal Medicine, Singapore General Hospital, SingaporeDepartment of Internal Medicine, Singapore General Hospital, SingaporeDepartment of Gastroenterology and Hepatology, Singapore General Hospital, SingaporeMarked elevation of transaminases is rare in typhoid enteric fever. Co-infections with hepatitis A or E, dengue, or other pathogens should be suspected and investigated. Here we report a case of a 29-year-old Bangladesh man who presented with typhoid, hepatitis E and Giardia lamblia complicated by severely deranged liver enzymes. With early institution of antibiotics and active supportive treatment, the patient clinically recovered. The underlying mechanism of co-infection is still not clear. As clinicians, comprehensive workup for potential pathogens helps expedite diagnosis, especially in patients from endemic areas or patients who deteriorate rapidly. Current diagnostic methods, treatment modalities and preventive measures still need to be improved in the future.https://doi.org/10.1177/2010105815615999 |
| spellingShingle | Qing Zhang Jonathan Guo Xiang Teh Webber Pak Wo Chan A patient with typhoid fever, gastroenteritis and hepatitis E Proceedings of Singapore Healthcare |
| title | A patient with typhoid fever, gastroenteritis and hepatitis E |
| title_full | A patient with typhoid fever, gastroenteritis and hepatitis E |
| title_fullStr | A patient with typhoid fever, gastroenteritis and hepatitis E |
| title_full_unstemmed | A patient with typhoid fever, gastroenteritis and hepatitis E |
| title_short | A patient with typhoid fever, gastroenteritis and hepatitis E |
| title_sort | patient with typhoid fever gastroenteritis and hepatitis e |
| url | https://doi.org/10.1177/2010105815615999 |
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