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