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On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt
BACKGROUND: As physicians in a referral hospital, we observed the association between history of enteric fever and somatic disorders associated with low mood. At the Al-Hussein University Hospital, Cairo and the National Liver Institute Hospital, Menoufia, we receive patients from all over Egypt, in...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709802/ https://www.ncbi.nlm.nih.gov/pubmed/31686865 http://dx.doi.org/10.2147/IDR.S206642 |
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author | Bakeer, Mohammed Saied Youssef, Mohamed Ibrahim Elshazly, Helmy M Abdel-Samiee, Mohamed El-Gendy, Abdelaleem A Abouzed, M Othman, Warda Abdelkareem, Mervat Abozeid, Mai Awad, Samah Mohammed Khalil, Fatma O Bedair, Hanan M Diab, Karema A Seif, A S Youssef, Marwa F Sakr, Ayman Ahmed Abdelsameea, Eman |
author_facet | Bakeer, Mohammed Saied Youssef, Mohamed Ibrahim Elshazly, Helmy M Abdel-Samiee, Mohamed El-Gendy, Abdelaleem A Abouzed, M Othman, Warda Abdelkareem, Mervat Abozeid, Mai Awad, Samah Mohammed Khalil, Fatma O Bedair, Hanan M Diab, Karema A Seif, A S Youssef, Marwa F Sakr, Ayman Ahmed Abdelsameea, Eman |
author_sort | Bakeer, Mohammed Saied |
collection | PubMed |
description | BACKGROUND: As physicians in a referral hospital, we observed the association between history of enteric fever and somatic disorders associated with low mood. At the Al-Hussein University Hospital, Cairo and the National Liver Institute Hospital, Menoufia, we receive patients from all over Egypt, including rural areas where enteric fever is endemic. AIM: Here in, 60 Egyptian patients referred to us for evaluation of different somatic disorders are reported. METHODS: After extensive evaluations, the patients’ symptoms were function-related. Also, their typhoid carrier states were documented, and the severity of depression using Hamilton-D (HAM-D) questionnaire was evaluated and recorded. All patients were treated with ceftriaxone, 2 gm, IV, daily for 15 days. The clinical evaluation and Hamilton score were reassessed at the end of the treatment and 6 weeks thereafter. The patients did not receive any anti-depressant nor anti-anxiety treatment during their course. Typhoid carrier was defined by documenting the history of typhoid fever that was diagnosed by culturing the Salmonella species, and not by serology, isolated from stool culture along with febrile condition, plus the absence of fever in the past 3 weeks. The Widal test was not accepted as a criterion for enrollment. RESULTS: Patients showed clinically significant improvement in the somatic complaints, and their HAM-D score immediately post-treatment that was consolidated for 6 weeks post-treatment completion. CONCLUSION: In this study, the typhoid carrier was associated with the psychosomatic depression that improved by antibiotic therapy. |
format | Online Article Text |
id | pubmed-6709802 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-67098022019-11-04 On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt Bakeer, Mohammed Saied Youssef, Mohamed Ibrahim Elshazly, Helmy M Abdel-Samiee, Mohamed El-Gendy, Abdelaleem A Abouzed, M Othman, Warda Abdelkareem, Mervat Abozeid, Mai Awad, Samah Mohammed Khalil, Fatma O Bedair, Hanan M Diab, Karema A Seif, A S Youssef, Marwa F Sakr, Ayman Ahmed Abdelsameea, Eman Infect Drug Resist Original Research BACKGROUND: As physicians in a referral hospital, we observed the association between history of enteric fever and somatic disorders associated with low mood. At the Al-Hussein University Hospital, Cairo and the National Liver Institute Hospital, Menoufia, we receive patients from all over Egypt, including rural areas where enteric fever is endemic. AIM: Here in, 60 Egyptian patients referred to us for evaluation of different somatic disorders are reported. METHODS: After extensive evaluations, the patients’ symptoms were function-related. Also, their typhoid carrier states were documented, and the severity of depression using Hamilton-D (HAM-D) questionnaire was evaluated and recorded. All patients were treated with ceftriaxone, 2 gm, IV, daily for 15 days. The clinical evaluation and Hamilton score were reassessed at the end of the treatment and 6 weeks thereafter. The patients did not receive any anti-depressant nor anti-anxiety treatment during their course. Typhoid carrier was defined by documenting the history of typhoid fever that was diagnosed by culturing the Salmonella species, and not by serology, isolated from stool culture along with febrile condition, plus the absence of fever in the past 3 weeks. The Widal test was not accepted as a criterion for enrollment. RESULTS: Patients showed clinically significant improvement in the somatic complaints, and their HAM-D score immediately post-treatment that was consolidated for 6 weeks post-treatment completion. CONCLUSION: In this study, the typhoid carrier was associated with the psychosomatic depression that improved by antibiotic therapy. Dove 2019-08-22 /pmc/articles/PMC6709802/ /pubmed/31686865 http://dx.doi.org/10.2147/IDR.S206642 Text en © 2019 Bakeer et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Bakeer, Mohammed Saied Youssef, Mohamed Ibrahim Elshazly, Helmy M Abdel-Samiee, Mohamed El-Gendy, Abdelaleem A Abouzed, M Othman, Warda Abdelkareem, Mervat Abozeid, Mai Awad, Samah Mohammed Khalil, Fatma O Bedair, Hanan M Diab, Karema A Seif, A S Youssef, Marwa F Sakr, Ayman Ahmed Abdelsameea, Eman On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt |
title | On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt |
title_full | On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt |
title_fullStr | On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt |
title_full_unstemmed | On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt |
title_short | On-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from Egypt |
title_sort | on-treatment improvement of an emerging psychosomatic depressive disorder among salmonella carriers: a multicenter experience from egypt |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709802/ https://www.ncbi.nlm.nih.gov/pubmed/31686865 http://dx.doi.org/10.2147/IDR.S206642 |
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