Enteric Fever (Typhoid Fever) Sign and symptoms, Diagnosis, Investigations, Treatment.

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Enteric Fever (Typhoid Fever)

Chief complaints:

  • Fever that is gradually increasing to 104.9 F
  • Headache 
  • Vomiting 
  • Weakness 
  • Fatigue
  • Loss of appetite
  • Muscle pain
  • Relative bradycardia
  • Loss of appetite
  • Abdominal pain
  • Rash (2 to 4 mm , Rose spots)
  • Diarrhoea
  • Hepatomegaly
  • Splenomegaly 
Treatment duration: 7 to 14 days

Diagnosis: (BASU)

  1. Blood culture: 1st week (Most Important test at disease onset)
  2. Antigen test(widal test): 2nd week
  3. Stool culture: (3rd week)
  4. Urine Culture: (4th week)
  5. Bone marrow culture: (Gold standard)

Investigations: 

Full blood count (CBC)

  1.    Anemia
  2. Leukopenia or leukocytosis (Absolute eosinopenia, Relative lymphcytosis)
Liver Function Tests (LFTs)

Ultrasonography Whole Abdomen: Hepatosplenomegaly


Treatment: (1 Teaspoonful = 5ml)
  1. Syp. Cefixime 100mg/200mg (Brands: Cefspan/Cefiget= 100mg/5ml, Cefspan DS/Cefiget DS=200mg/5m) X BD
  2. Syp. Paracetamol (Panadol=160mg/5ml, Calpol=120mg/5ml, Calpol 6Plus/Panadol forte=250mg/5ml)
  3. Syp. Multivitamins/Appetite stimulant (Lysovit, Glyvisol)

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