Lima Auvernat JCH. Med Mal Inf ; 5: Gotuzzo E, Guerra J. Gotuzzo E. Gonzales A, Heredia CJ et al.

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Medwave se preocupa por su privacidad y la seguridad de sus datos personales. Otros hallazgos incluyen bradicardia, hepatomegalia y esplenomegalia [1] , [5]. El paciente no hace referencia a viajes al extranjero o contacto con alguna persona enferma.

Los dos hemocultivos realizados al ingreso finalmente resultan positivos para Salmonella typhi sensible a ciprofloxacino y cefalosporinas.

Typhoid fever remains a major health problem worldwide, in contrast to Chile, where this disease is an isolated finding. Clinical presentation is varied, mainly presenting with fever, malaise, abdominal discomfort, and nonspecific symptoms often confused with other causes of febrile syndrome. We report a six-year-old, male patient presenting with fever of two weeks associated with gastrointestinal symptoms, malaise, hepatomegaly and elevated liver enzymes.

Differential diagnoses were considered and a Widal reaction and two blood cultures were requested; both came back positive, confirming the diagnosis of typhoid fever caused by Salmonella typhi. Prior to diagnosis confirmation, empirical treatment was initiated with ceftriaxone and metronidazole, with partial response; then drug therapy was adjusted according to ciprofloxacin susceptibility testing with a favorable clinical response.

We discuss diagnostic methods and treatment of enteric fever with special emphasis on typhoid fever. Typhoid fever: case report and literature review. Medwave Jun;16 5 :e doi: Ficha PubMed. Contacto English Email: Clave:. Global trends in typhoid and paratyphoid Fever.

Clin Infect Dis. Typhoid and paratyphoid fever in travellers. Lancet Infect Dis. Clinical pathogenesis of typhoid fever. J Infect Dev Ctries. Of mice, calves, and men. Comparison of the mouse typhoid model with other Salmonella infections. Adv Exp Med Biol. The utility of diagnostic tests for enteric fever in endemic locations. Expert Rev Anti Infect Ther. Typhoid fever. N Engl J Med. Systematic review of the global epidemiology, clinical and laboratory profile of enteric fever.

J Glob Health. Typhoid and paratyphoid fever. Wkly Epidemiol Rec. Revisiting typhoid fever surveillance in low and middle income countries: lessons from systematic literature review of population-based longitudinal studies. BMC Infect Dis. Fiebre tifoidea y paratifoidea. Santiago: Minsal; Bhutta ZA. Current concepts in the diagnosis and treatment of typhoid fever.

Indian J Med Res. Panam Infectol ;8 2 Serology of typhoid fever in an area of endemicity and its relevance to diagnosis. J Clin Microbiol. The sensitivity of real-time PCR amplification targeting invasive Salmonella serovars in biological specimens. Clinical response and outcome of infection with Salmonella enterica serotype Typhi with decreased susceptibility to fluoroquinolones: a United States foodnet multicenter retrospective cohort study. Antimicrob Agents Chemother.

Treatment of enteric fever typhoid and paratyphoid fever with third and fourth generation cephalosporins protocol. Cochrane Dabatase of Systematic Reviews ;3. Changing trends in antimicrobial resistance of Salmonella enterica serovar typhi and salmonella enterica serovar paratyphi A in Chennai.

Indian J Pathol Microbiol. CrossRef PubMed. Connor BA, Schwartz E. Typhoid vaccines: WHO position paper. Acceso Webactivo.

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