journal6 ›› 2003, Vol. 24 ›› Issue (4): 94-96.

• Scientific research bulletin • Previous Articles    

Analysis of Characteristic of Typhoid Fever Among Children in the Minority Nationality Region in Western Hunan From 1992 to 2002


  1. (Department of Pediatrics,Hospital of Xiangxi Autonomous Prefecture,Jishou 416000,Hunan China)
  • Online:2003-12-15 Published:2012-11-06

Abstract: Objective:To understand the features of children’s typhoid fever in the minority nationality region in Western Hunan.432 Methods:hospitalized children identified as typhoid fever were analyzed retrospectively.Results:All patients had fever and most of them were complicated with gastrointestinal tract symptoms.345 (79.86%) cases had hepatomegaly of which 86(19.90%) had splenomegaly,256 patients had complications including bronchitis-pneumonia (29.86%) hepatitis (14.8%) myocarditis (12.04%) and others.But rectal bleeding and intestinal perforation were seldom observed.White blood cell accounts were normal in (69.91%) children.Eosinophil accounts were decreased to zero in the major patients (79.86%).Antibiotics sensitive tests revealed that aminoglycosides,the third generation cephalosporins and Huroquinolones drags were sensitive to salmonella typhi chloramphenicol resistance to salmonella typhi decreased.Ampicillin and Compound Sulfamethoxazole resistance were common.Conclusions:Typhoid fever is present all year round but more prevalent in summer,and usually affects Children over 6 years of age.The clinical characteristics are atypical and complex.Zero of eosinophil accounts is still a major clue for typhoid fever.The third generation cephalosporins antibiotics show good effectivity in the treatment of children’s typhoid fever.

Key words: children;typhoid fever, minority nationality

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