CHANGING PROFILE OF ENTERIC FEVER IN CHILDREN
AbstractA total of 300 cases of PUO (Pyrexia of Unknown Origin) were admitted to the Paediatrics Unit ofWomen and Children Hospital, Abbottabad during one year (June 1994 - May, 1995). They were examinedfor their detailed clinical profile. About 2/3rd of them had fever as their presenting symptom. Otherassociated predominant features were dizziness-51 (30%), anorexia-48 (28%), loose motions-47 (27.6%),cough-38 (22.4%}), headache-25 (14.7%), coated tongue-21 2(12.4%.), & jaundice-5 (2.9%). 80%, patientswere admitted when complications had developed, such as gastroenteritis-68 (40%), enteric encephalopathy-65 (38.2%), drug toxicity-30 (17.6%), peritonitis-25 (14.7%), cholecystitis-18 (10.6%), myocarditis-6(3.5%), and ataxia-2 (1.2%).In the first 9 months, response to chloramphenicol was very good but this changed to resistance andin the last 3 months most of the cases were resistant to chloramphenicol treatment.
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