Typhoid Fever in Children

  • Soelistyowati S. Department of CHild Health, Gadjah Mada University Medical School, Yogyakarta, Central Java
  • Yati Soenarto Department of CHild Health, Gadjah Mada University Medical School, Yogyakarta, Central Java
  • Hafni Soesilo Department of CHild Health, Gadjah Mada University Medical School, Yogyakarta, Central Java
  • Widiarto Widiarto Department of CHild Health, Gadjah Mada University Medical School, Yogyakarta, Central Java
  • Widiatmodjo Widiatmodjo Department of CHild Health, Gadjah Mada University Medical School, Yogyakarta, Central Java
  • Ismangoen Ismangoen
DOI: https://doi.org/10.14238/pi22.7-8.1982.138-46
Keywords: typhoid fever, salmonella typhi, Widal

Abstract

One hundred ana fifty eight cases of Typhoid fever in children are reported as a result of a one year study.


Blood Salmonella typhi culture was found in 52.3%, wheereas Widal titer was positive in 57.9% cases. Fever and aneosinophilia were found in all of the 158 patients (100%), While 76.3% had constipation, 59.5% disturbance of consciousness, 98% leucopenia and 33.3% diarrhoea occurring in children below 5 years.


The result of treatment with chloramphenicol 75 mg/ kg Bw/day showed that the body temperature retumed to normal in an average of 4.9 days after the  administration of the drug, whereas hospitalization lasted 14.4 days (average). Three pat}ents (/.9o/o) died because of perforation :and bronchopneumonia and 5 failures were considered as caused by drug relsistancy.

During this study the typhoid fever morbidity rarte in the hospital was 8.1% with the case fatality r.ate as high ·as 1.6%. The higr.est outbreak happened at the beginning of the rainy season.

References

1. BACHTIN, NELWAN; NGOEN : M.; SURYANTORO, P.; SOENARTO, Y; lSMA. Evaluation of typhus abdominalis treated by general practitioners
in Yogyakm-ta. Pedintr. lndoncs. 18: 188 (1978).
2. ISKANDAR, Z.; KASMARA; PETRUS, R; RUSL YN EMMY : Pola Klinis
typhus abdominalis sebagai terlihat di Rumah Sakit Pcrsahabatan. Naskah Lengkap KOPAPDI IV, 1978.
3.JOEWONO RACHMAD; SOEWANDOYO EDDY : Diagnostik Klinik typhus abdominalis pada orang dewasa. Simp. Peny. lnfeksi , Surabaya, 1979.
4. KASPAN; M. FARlED; S. DWI ATMADJI; S.B. PARWATI; ISMOEDIJANTO, SOEGENG, S. : Masalah Typhoid fever pada anak. Simp. Peny. Infeksi, Surabaya, 1979.
5. KHOSLA, S.N.; GUPTA SUBASH and BRAHMANANDUM: Changing pattern of typhoid fever. Mod. Med. Asia. 13: 6 (1977).
6. NAFSIAH MBOI: SRI ROCHANI SUDJARWO; CORRY MATONDANG; SUHARYONO; SUTEDJO: Solid food in typhoid fever. Pediatr. Indones. 13: 63 (1973).
7. SABDOADI: Pencegahan penyakit typhus abdominalis. Simp. Peny. lnfeksi di Surabaya, 1979.
8. S0EMARMO; .MUSLIM, A. NATHIN; SOFYAN ISMAEL dan TUMBELAKA, W.A.F.J. : Masalah Demam Typhoid pada Anak. Medika 9: 517 (1980)
9. STUART, B.M.; PULLEN, R.L. : Typhoid Clinical Anallysis of three hundred and sixty cases. Arch. Intem. Mccl. 76 : 629 (1946) (Cited by KHOSLA, 1977).
10. SUHARTO, S. : Diagnosis Laboratorik dari Typhoid fever. Simp. Peny. Jnfcksi di
Surabaya, 1979.
ll. SUPARNO, HERNAWAN, SUMARlvlO :
Bactrim in the treatment of Typhoid
fever in Children. Mod. Med. Asia 14 : 31
(1978).
5. KHOSLA, S.N.; GUPTA SUI3ASH and 12. SUTED)O, L.I. SOEPARDAN : Pe·
BRAHMANANDUM : Changing pattern
of typhoid fever. Mod. Mccl. Asia. 13 :
6 (1977) .
6. NAFSIAH MBOI; SRI ROCHANI SUD)
ARWO; CORRY MATONDANG; SUHARYONO;
SUTEDJO : Solid food in
Typhoid fev.o;:r. Pediatr. Indones. 13 : 63
(1973).
ngob<•.lan typhus abclominalis pacla annlc
Maj. Kedok. lndones. 11 : 141 (1961).
13. WOODWARD, T.E.; SURADED, ).E.;
LEY, H.L. ; GREEN, R., MANKIHAN
D.S. : Preliminary report in be·
ncficial effect of Chloromycetin in the
treatment of typhoid fever. Ann intern.
Med. 29 : 131 - 134 (1948).
Published
1982-08-30
How to Cite
1.
S. S, Soenarto Y, Soesilo H, Widiarto W, Widiatmodjo W, Ismangoen I. Typhoid Fever in Children. PI [Internet]. 30Aug.1982 [cited 6Feb.2025];22(7-8):138-6. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1622
Issue
Vol 22 No 7-8 (1982): July - August 1982
Section
Infection & Tropical Pediatrics

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Received 2017-08-25
Accepted 2017-08-25
Published 1982-08-30