DOI: 10.36347/sjams.2020.v08i12.038

Pages: 2885-2889

Introduction: Typhoid fever is a common pyretic illness and one of the major health complications in Bangladesh. Hence, the present study was conducted to determine the, clinical profile, complication and outcome of the studied patients suffering from typhoid fever in some of the tertiary care hospitals in Dhaka. Material & Methods: This was a cross sectional study conducted in the Department of Paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital (DMCH) and Sir Salimullah Medical College Hospital (SSMCH), Dhaka, Bangladesh for a period of one year from July 2015 to June 2016. A total number of 100 children with Typhoid fever were studied and analyze based on clinical profile, complications and outcome. During the study period febrile patients admitted in above mentioned hospital with the diagnosis of suspected typhoid fever was screened. Suspicion was made on the basis of clinical features like continued fever, toxic look, diarrhea/constipation, splenomegaly, hepatomegaly, diffuse tenderness and caeca gurgling. Clinically suspected cases undergone laboratory investigation that includes CBC, Widal test and blood culture and other tests as per individual case merits. Results: Out of 100 diagnosed typhoid fever children, 60 (60%) were male and 40 (40%) were female. Fever was present in all patients. Other most common appearance is loss of appetite, vomiting, diarrhea, headache and constipation. Coated tongue was the predominant examination finding followed by hepatomegaly, splenomegaly and abdominal tenderness. Sensitivity to ceftriaxone was 100% in our study while resistance to nalidixic acid was 90%. Conclusion: Clinical profile of typhoid fever in children admitted in tertiary care hospitals matches to what had been seen in the past and recorded in different local and regional publications. Typhoid fever is endemic in our country and affect all ages beyond infancy as found in this study.