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Enteric fever in childhood

A O Johnson, W I Aderele

    The Journal of Tropical Medicine and Hygiene
    |February 1, 1981
    PubMed

    Insights

    Enteric fever in Nigerian children presents with fever, abdominal pain, and vomiting. High mortality (32%) is linked to delayed diagnosis and complications like intestinal bleeding and perforation.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Tropical Medicine

    Background:

    • Enteric fever poses a significant health challenge in many parts of the world, particularly in regions with limited sanitation.
    • Accurate diagnosis and timely management are crucial for improving outcomes in pediatric enteric fever cases.

    Purpose of the Study:

    • To analyze the clinical presentation, associated conditions, and outcomes of enteric fever in Nigerian children.
    • To identify factors contributing to delayed diagnosis and complications.

    Main Methods:

    • Retrospective analysis of 117 pediatric cases diagnosed with enteric fever.
    • Review of clinical features, diagnostic delays, complications, and mortality rates.

    Main Results:

    • Fever, abdominal pain, vomiting, and diarrhea were the most common presenting symptoms.
    • Disorders of sensorium were observed in 50% of the cases.
    • High mortality rate of 32% was associated with delayed diagnosis and complications like intestinal hemorrhage and perforation.

    Conclusions:

    • Enteric fever in Nigerian children presents with characteristic symptoms but is often complicated by associated conditions leading to diagnostic delays.
    • Intestinal hemorrhage and perforation significantly contribute to the high mortality rate.
    • Improved diagnostic strategies and prompt treatment are essential to reduce mortality in pediatric enteric fever.

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