Shanghai fever: A fatal form of Pseudomonas aeruginosa enteric disease

Background Outcome of pseudomonas enteric fever is unpredictable as multiple systemic lethal complications occur abruptly. Case characteristics A 9-month-old girl with multiple ileal perforations, leukocoria, ecthyma gangrenosum, hemiplegia and a perforated ulcer in the soft palate. Blood culture su...

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Bibliographic Details
Published in:Indian pediatrics 2015-10, Vol.52 (10), p.896-898
Main Authors: Halder, Pankaj, Mandal, Kartik Chandra, Mukhopadhyay, Madhumita, Debnath, Bidyut
Format: Article
Language:English
Subjects:
Case Report
Fatal Outcome
Female
Humans
Ileal Diseases - diagnosis
Ileal Diseases - surgery
Infant
Intestinal Perforation - diagnosis
Intestinal Perforation - surgery
Maternal and Child Health
Medicine
Medicine & Public Health
Multiple Organ Failure - diagnosis
Pediatric Surgery
Pediatrics
Pseudomonas aeruginosa
Pseudomonas Infections - diagnosis
Pseudomonas Infections - surgery
Sepsis - diagnosis
Sepsis - surgery
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Summary:Background Outcome of pseudomonas enteric fever is unpredictable as multiple systemic lethal complications occur abruptly. Case characteristics A 9-month-old girl with multiple ileal perforations, leukocoria, ecthyma gangrenosum, hemiplegia and a perforated ulcer in the soft palate. Blood culture suggested Pseudomonas aeruginosa infection. Operative repair of multiple ileal perforations and multidisciplinary management was provided. Outcome On 10 th post-operative day, patient succumbed to multiple organ dysfunction syndrome. Message Early detection and management of complications of P. aeruginosa enteric disease is important.
ISSN:0019-6061
0974-7559
DOI:10.1007/s13312-015-0741-8