Spectrum of neuropsychiatric complications in 791 cases of typhoid fever

Summary Over a 6‐year period, we studied 791 patients with multidrug‐resistant typhoid fever, of whom 665 individuals (84%) developed neuropsychiatric manifestations. These were: acute confusional state (73%); myelitis (6%); cerebellitis (1%); parkinsonism (1%); acute psychosis (0.6%); meningo‐encep...

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Bibliographic Details
Published in:Tropical medicine & international health 1997-04, Vol.2 (4), p.314-318
Main Authors: Ali, Gazanfar, Rashid, Samia, Kamli, M. A., Shah, Parvez A., Allaqaband, G. Q.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anti-Bacterial Agents - therapeutic use
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Biological and medical sciences
Cerebellar Diseases - complications
Cerebellar Diseases - diagnosis
Cerebellar Diseases - epidemiology
cerebellitis
Confusion - complications
Confusion - diagnosis
Confusion - epidemiology
Drug Resistance, Microbial
Drug Resistance, Multiple
Encephalitis - complications
Encephalitis - diagnosis
Encephalitis - epidemiology
Female
Human bacterial diseases
Humans
India - epidemiology
Infectious diseases
Male
MDR typhoid
Medical sciences
Meningoencephalitis - complications
Meningoencephalitis - diagnosis
Meningoencephalitis - epidemiology
Middle Aged
myelitis
Myelitis - complications
Myelitis - diagnosis
Myelitis - epidemiology
Parkinson Disease - complications
Parkinson Disease - diagnosis
Parkinson Disease - epidemiology
parkinsonism
polymyositis
Polymyositis - complications
Polymyositis - diagnosis
Polymyositis - epidemiology
Psychotic Disorders - complications
Psychotic Disorders - diagnosis
Psychotic Disorders - epidemiology
Schizophrenia - complications
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Tropical medicine
Typhoid Fever - complications
Typhoid Fever - drug therapy
Typhoid Fever - epidemiology
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Summary:Summary Over a 6‐year period, we studied 791 patients with multidrug‐resistant typhoid fever, of whom 665 individuals (84%) developed neuropsychiatric manifestations. These were: acute confusional state (73%); myelitis (6%); cerebellitis (1%); parkinsonism (1%); acute psychosis (0.6%); meningo‐encephalitis (0.5%); encephalitis (0.25%); sensory motor polyneuropathy, polymyositis, acute schizophrenia and bizarre neurological syndromes (0.12% each). Severe parkinsonian rigidity and meningo‐encephalitis are associated with significant morbidity but very low mortality (0.5%).
ISSN:1360-2276
1365-3156
DOI:10.1111/j.1365-3156.1997.tb00145.x