Two Cases of Suspected Typhoid Encephalitis Treated with High Dose Dexamethasone.
- Author:
Joong Koo KANG
1
;
Youn Mee HWANG
;
Myung Chong LEE
;
Jae Hoon SONG
;
Yung Sang LEE
Author Information
1. Department of Neurology, College of Medicine, Ulsan University, Asan Medical Center, Korea.
- Publication Type:Original Article
- MeSH:
Cerebellar Ataxia;
Coma;
Consciousness;
Delirium;
Dexamethasone*;
Encephalitis*;
Fever;
Humans;
Shock;
Tremor;
Typhoid Fever*
- From:Journal of the Korean Neurological Association
1993;11(2):229-234
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Typhoid fever is one of the important contagious diseases. Typhoid fever of severe category is defined as the condition in which a febrile patient shows shocks or an altered state of consciousness ranging from delirium to coma. High dose dexarnethasone therapy is considered very effective in these life-threatening conditions. We report two severe hrphoid fever cases, which were treated with high dose dexarnethasone (dexamethasone 3mg/kg IV and lmg/kg q6hrs for 48 hrs) with a great success and we believe that one of the two cases is the first Korean case in the literature who had cerebellar ataxia and cortical tremor as a manifestation of the CNS involvement of typhoid fever.
