文章基本信息

标题：Double Trouble in a Tropical Paradise
本地全文：下载
作者：Adelyn Henry ; Ganesh Kasinathan
期刊名称：Open Access Library Journal
印刷版ISSN：2333-9705
电子版ISSN：2333-9721
出版年度：2018
卷号：5
期号：1
页码：1-4
DOI：10.4236/oalib.1104325
语种：English
出版社：Scientific Research Pub
摘要：Introduction: Leptospirosis and typhoid fever are water borne diseases. These diseases present as acute undifferentiated fever and often can be challenging to clinicians in the developing world due to limited resources. Case Presentation: A 15-year-old Malay girl presented a week after swimming in a waterfall with fever, vomiting and lethargy. Her condition deteriorated into septic shock and respiratory distress requiring mechanical ventilation. Her blood, urine and stool cultures grew pure isolates of Salmonella typhi. The leptospira serology was positive and the leptospira microscopic agglutination test revealed a high titre of 1:400. She was diagnosed with dual infections of leptospirosis and typhoid fever. With third generation cephalosporin antibiotics, she improved. There was clearance of her blood, urine and stool cultures. Her leptospira microscopic agglutination test demonstrated a fourfold reduction in titre. Conclusion: Not only do these illnesses prove challenging to physicians to diagnose and treat due to their similarity in initial presentation, they are also life threatening to the unknowing tourist or locals who went for an innocent dip in a picturesque waterfall.
关键词：Typhoid FeverLeptospirosisAntibioticsWaterfallSeptic Shock