Usefulness of Ultrasonography in detection of cases of typhoid fever in children- A clinical
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 11
Abstract
Background: Typhoid fever is a bacterial disease caused by salmonella typhi. An early diagnosis is difficult because of several spectra of clinical features of the disease. Ultrasonography (USG) is one of the diagnostic tool. Materials & Methods: It included 50 pediatric patients aged 5 years to 15 years, who were clinically suspected of having enteric fever. Blood samples of patients were subjected to Widal test and USG was performed in each patients. Results: Out of 50 patients, 38 were found to be positive for typhi. It included 20 boys and 18 girls. The difference was non- significant (P>0.05). Out of 38 positive cases, 38 showed splenomegaly on 5th day which decreased to 30 on 10th day and 22 on 15th day. Mesenteric lymph nodes were involved in 30 patients on day 5, which decreased to 21 on day 10 and 12 on day 15. 25 showed bowel thickening on day 5 which decreased to 7 on day 10. 20 showed a calculous cholecytitis on day 5, which decreased to 14 on day 10 and 5 on day 15. Fifteen showed hepatomegaly on day 5, which decreased to 5 on 10th day. Conclusion: USG is one of the reliable diagnostic tool ion the detection of typhoid fever in children. Features such as hepatosplenomegaly, enlarged MLNs, bowel wall thickening, and acalculus cholecystitis should be considered for the diagnosis of typhoid.
Authors and Affiliations
Pradeep Shankarrao Patil, Prithviraj L Jadhav
Keywords
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