DOI: 10.36347/sjams.2016.v04i08.090

Pages: 3182-3185

Enteric fever is a systemic illness and can be fatal, owing to a major public health problem in India due to poor sanitation. Patients present with varied symptoms and can pose a diagnostic challenge. Diagnosis most often done either by clinical impression or a serological test and confirmed by blood culture. The study is a prospective study carried out during the period of 1 years from January 2009 to January 2010 in the department of Medicine ,Sri Devaraj Urs Medical College ,R.L.Jalappa teaching Hospital Kolar. A total of 71 patients aged from 13 years to above 50 years were included in the study as shown in table- 1. There were 62( 87.32%) males and 9 (12.68%) females with male:female ratio of 7:1, None of the patients included in the study were vaccinated for typhoid in the past. Majority of the patients presented with abdominal pain 71(100 %), distension of abdomen 69(97.18 %), vomiting 50 (70.42%) fever 40 (70.42 %) constipation 10 (14.08 %) table-2. Widal test was positive in 65 (91.5 %). other investigations done was USG abdomen & pelvis which showed hepatomegaly 25(35.21% ) and splenomegaly 20(28.1% ), hepatosplenomegaly 15(21-1%) ,free fluid 8(11.26%) , Leucocytosis (>11x109 / L) was present in 40(56.33%). There was no mortality in our study. Most of the patients responded to treatment with cephalosporin (84.5%) while 11(15.5%) received a combination of cephalosporins and quinolones. Complications of typhoid fever were seen in 14.08% of patients in the form of ileal perforation.