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J Korean Neurol Assoc. 1993;11(2):229-234.
- Two Cases of Suspected Typhoid Encephalitis Treated with High Dose Dexamethasone
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Joong-Koo Kang, M.D., Youn-Mee Hwang, M.D., Myung-Chong Lee, M.D., Jae-Hoon Song, M.D., Yung-Sang Lee, M.D.
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Department of Neurology and Internal Medicine, College of Medicine Ulsan University Asan Medical Center
- 다량의 Dexamethasone 병용치료로 치유된 장티푸스뇌염으로 의심되는 2례
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강중구, 황연미,이명종,송재훈,이영상
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울산대학교 신경과, 내과. 서울중앙병원 신경과, 내과.
- 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.
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