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KMID : 0882420130840040608
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Korean Journal of Medicine
2013 Volume.84 No. 4 p.608 ~ p.612
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A Case of Renal and Liver Abscesses Caused by Nalidixic Acid-Resistant Salmonella typhi
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Lim Soo-Young
Kim Ho-Joong
Han Ji-Suk
Kang Dong-Hoon
Lee Jeong-A
Lee Seung-Soon
Kim Min-Jeong
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Abstract
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Prompt antibiotic treatment reduces the incidence of complications such as liver abscesses, pyelonephritis, and osteomyelitis in patients with typhoid fever. Renal or liver abscesses are especially rare in patients without underlying disease or predisposing factors. The occurrence of both renal and liver abscesses in a patient with typhoid fever has not been reported. Although the prevalence of typhoid fever in Korea has decreased, it is still an important disease owing to increased opportunities for the occurrence of waterborne diseases with climate warming and group feeding, and the increased numbers of tourists and foreigners visiting Korea. We present a patient with no underlying disease or predisposing factors who developed both renal and liver abscesses caused by nalidixic acid-resistant Salmonella typhi after a trip to Nepal. He was treated successfully with percutaneous drainage of the renal abscess and high-dose ciprofloxacin.
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KEYWORD
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Salmonella typhi, Abscess, Liver Abscess, Nalidixic Acid, Drug Resistance
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