Bilquis Lakhany, Jamshed Akhtar, Aslam Haider Qureshi, Rehana Akhtar.
The study of 100 children with Enteric fever.
J Surg Pak Jan ;9(2):29-30.
This study was conducted at the Department of Pediatric Medicine at National Institute of Child Health (NICH), Karachi, from January, 2003 to December, 2003. Hundred children were admitted with Enteric fever and studied prospectively. These accounted for about 1 % of the total admissions. Inclusion criteria was positive blood and / or bone marrow culture. Majority of patients (95) had blood culture positive for Salmonella typhi. Salmonella para-typhi. A found in 3 cases and Salmonella para-typhi B in 2 cases only. Bone marrow culture was positive in 25% patients. Majority of the isolates were sensitive to all the primary and the 3rd generation cephalosporins. The patients were between the ages of 5-10 years. Male to female ratio was 2:1. Presenting symptoms were mainly fever vague abdominal symptoms, anorexia, nausea, vomiting, diarrhoea, headache and cough. One patient presented with a picture of hepatic failure with favorable outcome. Two patients developed arthritis and one developed enteric perforation with fatal outcome.
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