By ULY CLINIC Staff,

Typhoid Fever in Children

It is a systemic disease resulting from infection by Salmonella typhi and S.
paratyphi, serotypes A and B respectively. Infection is acquired through ingestion of contaminated food and water.

Diagnostic Criteria

Headache
Paradoxycal haemodynamic state
Roth spots in the periumbilical area
Increasing O titers

Investigations

Widal test
Indirect fluorescent Vi antibody
ELISA IgM and IgG.
Blood and stool cultures

Treatment

Non pharmacological Treatment

Encourage feeding and breastfeed if child is still breastfeeding
If patient has dehydration manage accordingly

Pharmacological treatment

Ciprofloxacin 15mg/kg PO 12 hourly for 10 days OR
Azithromycin 10 mg/kg PO once a day for 7 days OR
Cefixime 10mg/kg 12 hourly for 14 days PLUS
Paracetamol 15 mg/kg 8 hourly for 5 days

Note:

Ciprofloxacin is safe to use in children.

Updated on 14.09.2020

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References