Age, pattern of presentation and risk factor for enteric fever in 2-15 years old children. | [Isra Medical Journal • 2014]

Author(s):

1. Nadia Waheed: Al-Nafees Medical College & Hospital, Isra University Islamabad Campus, Islamabad, Pakistan

2. Zesshan Ghani: Al-Nafees Medical College & Hospital, Isra University Islamabad Campus, Islamabad, Pakistan

3. Asma Yaqub: Rawal Institute of Health Sciences Islamabad, Pakistan

4. Asifa Murtaza: Isra University, Islamabad Campus, Islamabad, Pakistan

Abstract:

OBJECTIVE: To find out age related common pattern of presentation of enteric fever in children. STUDY DESIGN: A cross sectional study. PLACE AND DURATION: Pediatric Department Al-Nafees Medical College and Hospital Islamabad over a period of 6 months from 1st July 2013- 31st Dec 2013 METHODOLOGY: Patients irrespective of gender between 2-15 years, with fever of more than 4 days without focus were included in the study .Complete blood count and typhi dot test performed on all patients for diagnosis. Performa containing bio data, symptoms and clinical signs was filled of patients with positive serology. RESULTS: A total of 60 patients studied and among them 92 %( n= 55) and 90% (n=54) patient presented with poor appetite and fever respectively. Among them 90% (n=54) had white coated tongue and 66% (n=40) had low grade fever (100°F -102°F) while 33% (n=20) were having high grade fever (?102°F).Hepatomegaly was found in 73% (n=44) patients while Hepatosplenomegaly in 20% (n=12) patients. Leukocytosis was more common in children than leucopenia. CONCLUSION: Common symptom of enteric fever is poor appetite and low grade fever, and white coated tongue with hepatomegaly is common findings on clinical examination. Thrombocytopenia is consistent laboratory finding.

Page(s): 289-292

DOI: DOI not available

Published: Journal: Isra Medical Journal, Volume: 6, Issue: 4, Year: 2014

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