Enteric Encephalopathy associated with reversible ECG changes: A Diagnostic Dilemma

  • Somnath Maitra Associate Professor, General Medicine, Jagannath Gupta Institute of Medical Sciences and Hospital, Budge Budge,Kolkata, West Bengal, India
  • Sk Adnan Yusuf Senior Resident, General Medicine, Jagannath Gupta Institute of Medical Sciences and Hospital, Budge Budge, Kolkata,West Bengal, India
  • Koushik Ray Assistant Professor, Anatomy, Jagannath Gupta Institute of Medical Sciences and Hospital, Budge Budge, Kolkata, WestBengal, India
Keywords: Enteric fever,encephalopathy, ECG changes,prognosis

Abstract

Enteric fever is common in India. It presents with various clinical manifestations. Encephalopathyand ECG changes are indicators of prognosis. Persistent ECG changes indicate a poor prognosis. Thepathogenesis of encephalopathy is unclear though prostaglandins and free oxygen species may beimplicated in the prognosis and justifies the use of steroids in enteric encephalopathy withantibiotics. The case presented here presented with encephalopathy and ECG changes whichreversed following antibiotic and steroid therapy. The importance of the case lies in the fact thattyphoid should not be missed in the diagnosis of encephalopathy and ECG should be done in allcases of enteric fever to determine the prognosis.

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How to Cite
1.
Somnath Maitra, Sk Adnan Yusuf, Koushik Ray. Enteric Encephalopathy associated with reversible ECG changes: A Diagnostic Dilemma. Int J Med Res Rev [Internet]. 2022Apr.2 [cited 2022Sep.28];10(1):53-6. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1369
Section
Case Report