CLINICAL PROFILE OF ENTERIC FEVER IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 2
Abstract
BACKGROUND The protean manifestations of enteric fever make this disease a true diagnostic challenge. Untreated enteric fever is a grueling illness that may progress to delirium, obtundation, intestinal hemorrhage, bowel perforation and death. This is a prospective study of ninety eight confirmed enteric fever children done in J N Institute of Medical Sciences, Imphal. AIMS The present study was undertaken to determine the clinical profile and outcome of hospitalized children with enteric fever. MATERIAL AND METHODS The study was conducted at Jawaharlal Nehru Institute of Medical Sciences, Imphal from January 2012 to December 2014. Total of ninety eight children between 1 year to 12 years of age who had clinical features strongly suggestive of typhoid fever and on Widal test and blood culture found to be positive for salmonella typhi were analysed for clinical features. Detailed history, comprehensive physical examination and other relevant information were recorded by following standard procedures. RESULTS There were total of 98 cases of typhoid fever admitted. Of the 98 children 59 (60.20%) were boys and 39 (39.79%) were girls, with male: female ratio of 1.51:1. The cases were common among the age group 7 year to 12 years 51 (52 %); 100% of children in our series were unimmunized against typhoid. Typhoid fever has bimodal peak occurrence in March/April and August/September. Most of the cases were from rural areas 60 (61.22%). Predominant symptoms were fever 98 (100%), headache 75 (76.53%), anorexia 80 (81.63%), vomiting 26 (26.53%), abdominal pain 68 (69.38%), diarrhea 37 (37.75%) and cough 26 (26.53%). Hepatomegaly was the most common sign seen among the cases and was seen in 76 cases (77.55%). Other common clinical signs were coated tongue 80 (81.63%) and splenomegaly 38 (38.77%). Rose spots were not noticed. During the hospital stay, the most common antimicrobial used was intravenous Ceftriaxone. None of the patients presented with complications. CONCLUSION The clinical profile of enteric fever in our study revealed not much difference from that of other studies on enteric fever. There was not a single case of complication of enteric fever. Probably early initiation of antibiotics prevented the complications. Enteric fever is one of the common causes of fever in children with varied presentation and significant difference in the signs and symptoms compared to adults.
Authors and Affiliations
Narendra Laishram, Pebam Singh
Keywords
Related Articles
- EP ID EP154327
- DOI 10.14260/jemds/2016/28
- Views 94
- Downloads 0
PLEURAL FLUID TO SERUM PSUEDOCHOLINESTERASE RATIO AND ITS VALIDATION WITH LIGHT’S CRITERIA
[b] BACKGROUND AND OBJECTIVES:[/b] Pleural effusion is a common clinical condition faced in everyday practice. The first step in the management of pleural effusion is its differentiation into transudates and e...
CARCINOEMBRYONIC ANTIGEN LEVELS AMONG STROKE PATIENTS
BACKGROUND CEA (carcinoembryonic antigen) is mainly associated with malignant conditions, but there is a modest increase in non-malignant conditions such as aging, and atherosclerosis and this study is to find correlatio...
HUMAN AMNIOTIC MEMBRANE GRAFTING: A BOON IN OCULAR CHEMICAL INJURIES
Amniotic membrane is the innermost layer of the fetal membranes. It has a stromal matrix, a collagen layer, and an overlying basement membrane with a single layer of epithelium. (1) Amniotic membrane has unique p...
PREVALENCE OF NON-ALCOHOLIC FATTY LIVER DISEASE IN HYPOTHYROIDISM IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA
BACKGROUND Thyroid hormones are involved in lipid metabolism, insulin resistance and regulation of bodyweight. There are inconclusive data regarding substantial involvement of hypothyroidism in non-alcoholic fatty liver...
A STUDY ON INTRAOPERATIVE AWARENESS AND RECALL DURING GENERAL ANAESTHESIA- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Intraoperative awareness occurs when a patient becomes conscious during a surgical procedure performed under general anaesthesia and subsequently has recall of these events. The experience can be quite disturb...