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Typhoid fever in a little girl. #PediatricOncall #PediatricCase #Casestudy #Journal
 
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https://i.ytimg.com/vi/ryro8ahY1N4/mqdefault.jpg 10/15/2024 09:42:50 An 11 year old girl presented with remittent fever for 1 month and abdominal pain for 4 days. On examination, she had tachycardia, tender hepatomegaly and pallor. Investigations showed:

Parameter Result
Hemoglobin 9.4 g/dL
White Blood Cell Count 8,600/μL
Neutrophils 59%
Lymphocytes 38%
Eosinophils 3%
Platelet Count 282,000/μL
Widal Test (O) 02:00
Widal Test (H) 05:00
Blood Culture Salmonella typhi (sensitive to ceftriaxone)

She was treated with Injections Ceftriaxone (100 mg/kg/day) but the fever did not respond even after 5 days of antibiotics in spite of giving sensitive antibiotics.
Should the antibiotics be changed?

Join the Discussion: https://www.pediatriconcall.com/diagnosis-dilemma/new/typhoid-fever/222

PEDIATRIC ONCALL is the Web's most robust and integrated medical information and education tool with an extensive network of doctors as registered members.

Typhoid fever in a little girl. #PediatricOncall #PediatricCase #Casestudy #Journal

Description
An 11 year old girl presented with remittent fever for 1 month and abdominal pain for 4 days. On examination, she had tachycardia, tender hepatomegaly and pallor. Investigations showed:

Parameter Result
Hemoglobin 9.4 g/dL
White Blood Cell Count 8,600/μL
Neutrophils 59%
Lymphocytes 38%
Eosinophils 3%
Platelet Count 282,000/μL
Widal Test (O) 02:00
Widal Test (H) 05:00
Blood Culture Salmonella typhi (sensitive to ceftriaxone)

She was treated with Injections Ceftriaxone (100 mg/kg/day) but the fever did not respond even after 5 days of antibiotics in spite of giving sensitive antibiotics.
Should the antibiotics be changed?

Join the Discussion: https://www.pediatriconcall.com/diagnosis-dilemma/new/typhoid-fever/222

PEDIATRIC ONCALL is the Web's most robust and integrated medical information and education tool with an extensive network of doctors as registered members.
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