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Roentgenographic findings in typhoid fever
Summary
Barium meal examinations reveal distinct abnormalities in the terminal ileum during the early febrile stage of typhoid fever. This safe and rapid imaging technique aids in diagnosing typhoid when blood cultures are inconclusive.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Radiology
Background:
- Typhoid fever diagnosis can be challenging, often relying on blood cultures which may not be positive early in the disease.
- Early and accurate diagnosis of typhoid fever is crucial for timely treatment and preventing complications.
Purpose of the Study:
- To evaluate the utility of barium meal examinations in diagnosing typhoid fever.
- To identify characteristic radiographic findings of typhoid fever in the terminal ileum.
Main Methods:
- Barium meal examinations were conducted on 20 patients with confirmed or suspected typhoid fever.
- Radiographic findings in the terminal ileum were analyzed, particularly during the febrile stage.
Main Results:
- Distinct abnormalities were observed in the terminal ileum early in the febrile stage of typhoid fever.
- A different pattern of abnormality was noted in one case of typhoid fever relapse.
- The examination was found to be easily and safely performed.
Conclusions:
- Barium meal examination is a valuable adjunct for diagnosing typhoid fever, especially when blood cultures are negative.
- The immediate availability of results allows for early initiation of treatment.