RESUMO
Out of 130 children under 12 years of age with a diagnosis of typhoid fever, nine were under two years of age; the youngest was five months old. Six patients were males and the most frequent findings were: high fever, poor physical condition, vomiting, diarrhea, malnutrition, dehydration, meteorism, liver and spleen enlargement, cough, bleeding disorders and central nervous system abnormalities which were suggestive of sepsis. The clinical diagnosis was confirmed in all patients through the isolation of Salmonella typhi in blood cultures. The Widal reaction showed higher than 1/160 "O" and "H" agglutinin titers in five out of six patients in which it was performed. Neutrophilia was observed in all cases, with a shift to the left in five of them. Anemia was present in all of them. The following complications were found: hepatitis (1 case), hepatitis and meningitis (1 case), bronchopneumonia (1 case), and bleeding abnormalities (4 cases). Two of the patients died; the deaths were attributed to late diagnosis and insufficient antibiotic treatment.
Assuntos
Febre Tifoide/diagnóstico , Testes de Aglutinação , Transtornos da Coagulação Sanguínea/etiologia , Feminino , Hepatite/etiologia , Hepatomegalia/etiologia , Humanos , Lactente , Masculino , Meningite/etiologia , Esplenomegalia/etiologia , Febre Tifoide/complicaçõesRESUMO
De 130 ninos menores de 12 anos con diagnostico de fiebre tifoidea, se hallaron 9 ninos menores de dos anos, siendo el de menor edad 5 meses. Seis pacientes fueron del sexo masculino y los hallazgos mas frecuentes fueron: fiebre elevada, mal estado general, vomitos, diarrea, desnutricion, deshidratacion, meteorismo, hepato y esplenomegalia, tos, manifestaciones hemorragiparas y del sistema nervioso central. Dichas manifestaciones clinicas fueron muy sugestivas de una sepsis. El diagnostico clinico fue confirmado en todos los pacientes por el aislamiento de Salmonella typhi en el hemocultivo. La reaccion de Widal mostro titulos de aglutininas "O" y "H" mayores de 1/160 en 5 de 6 pacientes en quienes fue realizado. La neutrofilia fue observada en todos los pacientes. Las siguientes complicaciones fueron halladas: hepatitis (1 caso), hepatitis y meningitis (1 caso), bronconeumonia (1 caso) y trastornos hemorragiparos (4 casos). Dos de los pacientes murieron y esto fue atribuido a diagnostico tardio y a tratamiento antibiotico insuficiente
