ISSN: 2578-4838
Authors: Vijaymahantesh P and Suresh K*
Enteric fever is an important public health problem in developing and underdeveloped countries. It is mainly caused due to contaminated food or water and poor personal and food hygiene. Despite a century-old history of the diseases, the progress in its diagnostic tools is limited, age-old Widal test and treatment by empirical Antibiotic therapy continues to be the choice. Here, we present one such case managed in a smaller setting with serological diagnosis and empirical Antibiotic therapy. A 26-year-old male working graduate with a one-week history of evening rise of temperature with chills, heaviness of head and pain abdomen lasting for about one hour, associated with loose stools (5-6times), Nausea, loss of taste and severe body ache in early March 2021. He gave frequent travel history and consumption of street food and poor sleep for a week before the presentation. Typhoid was suspected based on clinical features, Widal test and other supportive blood tests. The same tests were repeated three times over 2 weeks to monitor the prognosis of the condition. The case was treated by cephalosporin, Antipyretics, Fluoroquinolone and Macrolide, temperature became normal after 3 days of day-care, followed up after 5 days & 8 days and confirmed to be back to Normalcy
Keywords: S.typhi; Typhoid fever; Paratyphoid; Serodiagnosis; Laboratory; Multidrug Resistance
