급성 간염으로 발현된 장티푸스 1예
A case of typhoid fever with manifestations of acute hepatitis
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Typhoid fever is a febrile illness with a variety of systemic manifestations; however, icteric typhoid hepatitis, mimicking the clinical features of acute hepatitis, is very uncommon. A 45-year-old man was admitted to the hospital for evaluation of fever, dark-colored urine, and jaundice. On admission, the total bilirubin was 4.3 mg/dL, and the AST and ALT were 468 and 319 IU/L, respectively. Salmonella typhi was identified by blood culture. A liver biopsy revealed some mononuclear cell infiltrations without hepatocyte necrosis or typhoid nodules. CT scan findings showed splenomegaly and mesenteric lymphadenopathy. With the administration of ceftriaxone, he became afebrile and showed improvement in the jaundice, with normalization of AST and ALT. (Korean J Med 75:77-81, 2008)
Abstract
Typhoid fever is a febrile illness with a variety of systemic manifestations; however, icteric typhoid hepatitis, mimicking the clinical features of acute hepatitis, is very uncommon. A 45-year-old man was admitted to the hospital for evaluation of fever, dark-colored urine, and jaundice. On admission, the total bilirubin was 4.3 mg/dL, and the AST and ALT were 468 and 319 IU/L, respectively. Salmonella typhi was identified by blood culture. A liver biopsy revealed some mononuclear cell infiltrations without hepatocyte necrosis or typhoid nodules. CT scan findings showed splenomegaly and mesenteric lymphadenopathy. With the administration of ceftriaxone, he became afebrile and showed improvement in the jaundice, with normalization of AST and ALT. (Korean J Med 75:77-81, 2008)
참고문헌 (17)
- Osler W, "Hepatic complication of typhoid fever", Johns hopkins Hosp Rep, 8, pp.373~377 (1899)
- Chung WH, "The histologic findings of liver needle biopsy specimens obtained from leteric typhoid fever", Korean J Med, 19, pp.88~94 (1976)
- Bhan MK, "Typhoid and paratyphoid fever", Lancet, 366, pp.749~762 (2005)
- Salcedo M, "Complications and mortality of typhoid fever and the paratyphoid A and B: clinical study of 3,476 cases", Rev Med Chil, 95, pp.744~750 (1967)
- 이우형, "장티푸스 환자에 있어서 간기능검사 및 간침생검 소견", 대한내과학회 초록집 (1986)
- Ramachandran S, "Typhoid hepatitis", JAMA, 230, pp.236~240 (1974)
- Hornick RB, "On the pathogenesis of typhoid fever", Arch Intern Med, 138, pp.357~359 (1978)
- Mallory F, "A histological study of typhoid fever", J Exp Med, 8, pp.611~615 (1898)
- Lee WH, "A histological finding of liver needle biopsy in patients with typhoid fever", Korean J Gastroenterol, 9, pp.19~25 (1977)
- Ayhan A, "The liver in typhoid fever", Am J Gastroenterol, 59, pp.141~146 (1973)
- Doh SG, "Clinical observations on 168 cases of typhoid fever and 45 cases of paratyphoid A fever", Korean J Med, 24, pp.488~492 (1981)
- Pais P, "A hepatitis like picture in typhoid fever", Br Med J, 289, pp.225~226 (1984)
- Assif E, "Typhoid hepatitis", Harefuah, 77, pp.466~467 (1969)
- Doh SG, "Clinical observation on 36 cases of typhoid fever with complicatrion: in comparison with 80 cases of uncomplicated typhoid fever", Korean J Med, 27, pp.722~728 (1984)
- Lantin PT, "Complication and fatality of typhoid fever among Filipinos", Am J Med Sci, 178, pp.32~ (1927)
- Kim SB, "A case of typhoid fever complicated by hepatitis and ascites", Korean J Med, 39, pp.845~849 (1990)
- Jung IS, "A case of acute pancreatitis and hepatitis associated with typhoid fever", Korean J Med, 41, pp.119~122 (1991)