Typhoid and Paratyphoid Fever in 192 Hospitalized Children in Thailand

Usa Thisyakorn, Pethai Mansuwan, David N. Taylor

Research output: Contribution to journalArticle

Abstract

From 1977 to 1984, Salmonella typhi was isolated from 85% and Salmonella paratyphi A was Isolated from 15% of 192 Thai children with enteric fever at children's Hospital, Bangkok. Children with enteric fever presented with sudden onset of fever and gastrointestinal symptoms. Diarrhea occurred in 62% of children with paratyphoid fever and 36% of children with typhoid fever. Rose spots were seen in 15% of patients with typhoid and 7% of patients with paratyphoid fever. There were no deaths. Bronchitis and pneumonia occurring In 11% of patients were the most common complications. Acute hemolysis occurred in 3% of the patients with typhoid fever who had thalassemia or glucose-6-phosphate dehydrogenase deficiency. Chloram-phenicol-resistant S typhi, which accounted for 70% of the isolates in 1977, has since 1982 accounted for less than 2% of isolates.

Original languageEnglish (US)
Pages (from-to)862-865
Number of pages4
JournalAmerican Journal of Diseases of Children
Volume141
Issue number8
DOIs
StatePublished - Aug 1987

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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