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[Abdominal typhus today]
K Knezević1, J Jovanović, M Celanović
1Klinika za infektivne bolesti, Medicinski fakultet, Novi Sad.
Medicinski Pregled
|January 1, 1992
Summary
Abdominal typhus (enteric fever) is rare but presents atypically in Vojvodina. Delayed diagnosis in young adults often results from non-specific symptoms and early antibiotic use, complicating treatment.
Area of Science:
- Infectious Diseases
- Epidemiology
- Internal Medicine
Context:
- Abdominal typhus (enteric fever) is an uncommon acute infectious disease.
- Recent data from Vojvodina (1981-1990) reveals 16 treated cases.
- The majority of patients were young adults aged 6-30.
Purpose:
- To analyze the clinical presentation, diagnosis, and treatment of abdominal typhus.
- To investigate the reasons for delayed hospitalization and misdiagnosis.
- To highlight the impact of atypical presentations and early antibiotic use.
Summary:
- 16 patients with abdominal typhus were treated, with 80% infected outside Vojvodina.
- Most patients presented with atypical symptoms, leading to delayed diagnosis and hospitalization.
- Early antibiotic administration before etiological confirmation contributed to the atypical clinical picture.
Impact:
- Highlights the challenges in diagnosing abdominal typhus due to atypical presentations.
- Emphasizes the need for heightened clinical suspicion in febrile patients, even with non-specific symptoms.
- Underscores the potential for broad-spectrum antibiotics to mask classic signs of enteric fever.