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.

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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 26Apr.2024];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