Clinical analysis of 33 cases of typhoid fever.docVIP

 PAGE \* MERGEFORMAT 10 Clinical analysis of 33 cases of typhoid fever Of: Wu Jingwen, Chen Fulin, Jin Xuefeng, Wen-Zhong Yang [Abstract] Objective of 33 cases the clinical features of typhoid fever patients and improve awareness of this disease. Methods retrospectively analyzed 33 cases of typhoid patients admitted to the clinical manifestation, laboratory examination and treatment. The results of clinical manifestations fever 100%, relative bradycardia 54.55%, 3.03% expression of indifference, gastrointestinal symptoms 60.60%, 42.42% hepatosplenomegaly, absence of rose spots, leukopenia 36.36%, eosinophils decreased or disappeared 81.81%, 63.63% Widal test was positive, positive blood culture rate of 18.18%, 72.72% concurrent toxic hepatitis. After ceftriaxone alone or in combination of levofloxacin and comprehensive anti-infection after treatment, the average cooling time of 4.22 + -2.77 days, all patients were cured. Conclusions of the disease occurs in young adults, with typical clinical features are rare, eosinophil count, Widal test reference for the diagnosis, blood cultures can be diagnosed, complications to the most toxic hepatitis, but the clinical manifestations of light. Treatment of third-generation cephalosporin use and Fluoroquinolones effective. [Keywords:] typhoid fever; diagnosis; treatment Abstract Objective To analyze the clinical features of typhoid so as to gain better understanding of the disease.Methods A retrospective analysis was made to the clinical manifestation, lab tests and curative effect of 33 hospitalized patients with typhoid.Result All the patients had the clinical manifestation of fever with no roseola, 54.55% of relative slow pulse, 3.03% of apathy, 60.60% of gastrointestinal symptoms and 42.42% of hepatosplenomegaly; 81.81% of the patients showed decrease or disappearance of eosinophils, 63.63% were positive in Widal test and 18.18 % in blood culture, 72.72% were complicated with toxic hepatitis; after the tre