DENOUEMENT

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PANAHI M.

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Journal Paper

Paper Information

Journal: Medical Journal of Mashhad University of Medical Sciences Year:2003 | Volume:46 | Issue:81 Page(s): 95-95

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Title

DENOUEMENT

Author(s)

PANAHI M. | Issue Writer Certificate

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Abstract

Second report of blood culture was positive for Salmonella Enterica and After two days stool culture was positive too, for S. Enterica. - Typhoid fever has one thousand features. The absence of specific symptoms or signs makes the clinical diagnosis of typhoid, difficult.In areas of endemic, a fever without evident cause, that lasts more than a week should be Considered typhoid fever until proved otherwise. The role of Vidal' s test is controversial, because the sensitivity, specificity and predictive values of this widely used test vary considerably among geographic areas.Sensitivity of stool culture increases with duration of the illness. The sensitivity of blood culture is higher in the first week of the illness and reduced by prior use of antibiotics.There is strong evidence that ciprofloxacin is the most effective drug for the treatment of typhoid fever but concern has been expressed about toxic effects in children. Because of sever form of typhoid fever in our patient and two episodes of gasteromintestinal hemorrhages and because of confusion state of patient, a third generation cephalosporin (Ceftriaxone) was initiated (60 mg/kg/bw) and Dexamethazone one mg per kilogram by intravenous infusion combined to Ceftriaxone.After3 days, dexamethazone discontinued but Ceftriaxone continued for a complete 10 days.Fever clearance time was not so long and on the fifth therapeutic day the fever completely subsided and jaundice disappeared. After starting dexamethazone, patient's confusion disappeared andshe had a good appetite and a better condition.Chloramphonical, Amoxicillin and Co-trimoxazole remain appropriate for the treatment of typhoidfever in areas of the world where the Salmonella is still fully susceptible to these drugs. 3 months after discharging the patient, she was well, and there was no evidence of relapse.

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APA: Copy

PANAHI, M.. (2003). DENOUEMENT. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 46(81), 95-95. SID. https://sid.ir/paper/51656/en

Vancouver: Copy

PANAHI M.. DENOUEMENT. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2003;46(81):95-95. Available from: https://sid.ir/paper/51656/en

IEEE: Copy

M. PANAHI, “DENOUEMENT,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 46, no. 81, pp. 95–95, 2003, [Online]. Available: https://sid.ir/paper/51656/en

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ISSN: 2588-4824

Journal Paper

DENOUEMENT