Spectrum of Clinical Profile and Management of Typhoid Fever in a Rural Tertiary Care Teaching Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: Enteric fever is a systemic illness and can be fatal, owing to a major public health problem in India due to poor sanitation. Patients present with varied symptoms and can pose a diagnostic challenge. Diagnosis most often done either by clinical impression or a serological test and confirmed by blood culture. The study is a prospective study carried out during the period of 1 years from January 2009 to January2010 in the department of Medicine ,Sri Devaraj Urs Medical College ,R.L.Jalappa teaching Hospital Kolar. A total of 71 patients aged from 13 years to above 50 years were included in the study as shown in table- 1. There were 62( 87.32%) males and 9 (12.68%) females with male:female ratio of 7:1, None of the patients included in the study were vaccinated for typhoid in the past. Majority of the patients presented with abdominal pain 71(100 %), distension of abdomen 69(97.18 %), vomiting 50 (70.42%) fever 40 (70.42 %) constipation 10 (14.08 %) table-2. Widal test was positive in 65 (91.5 %). other investigations done was USG abdomen & pelvis which showed hepatomegaly 25(35.21% ) and splenomegaly 20(28.1% ), hepatosplenomegaly 15(21-1%) ,free fluid 8(11.26%) , Leucocytosis (>11x109 / L) was present in 40(56.33%). There was no mortality in our study. Most of the patients responded to treatment with cephalosporin (84.5%) while 11(15.5%) received a combination of cephalosporins and quinolones. Complications of typhoid fever were seen in 14.08% of patients in the form of ileal perforation.Typhoid fever is a serious public health problem in developing countries and in areas where low socioeconomic status, poor sanitation and poor personal hygiene prevail. Therefore public health awareness regarding safe drinking water, proper sanitation, and hygiene, appropriate antibiotic administration and vaccination are the most useful tools to prevent typhoid fever and its complications. Keywords:typhoid fever,clinical profile, treatment outcome.
Authors and Affiliations
Dr. Kumar. S
Keywords
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