Features of clinic, diagnostics and treatment of typhoid fever in young patients

Typhoid fever is a dangerous infection. The article analyzes the clinical aspects, diagnostic possibilities and casual treatment of the young men in organized group with typhoid. It's shown that despite early hospitalization (at average of 5.5 days) the main manifestations peculiar to the "...

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Bibliographic Details
Published inVoenno-medicinskij ̆zurnal Vol. 332; no. 1; p. 33
Main Authors Kovalenko, A N, Zhdanov, K V, Volzhanin, V M, Shishkin, M K, Tokmakov, V S, Karpov, A V, Murachev, A A, Kondratenok, V A
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.01.2011
Subjects
Adolescent
Adult
Anti-Bacterial Agents - administration & dosage
Cephalosporins - administration & dosage
Ciprofloxacin - administration & dosage
Hospitalization
Humans
Male
Typhoid Fever - diagnosis
Typhoid Fever - drug therapy
Typhoid Fever - microbiology
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Summary:Typhoid fever is a dangerous infection. The article analyzes the clinical aspects, diagnostic possibilities and casual treatment of the young men in organized group with typhoid. It's shown that despite early hospitalization (at average of 5.5 days) the main manifestations peculiar to the "classical" infection retained. The majority (61.5%) had disease of moderate severity, mild form were at 37,4% of patients. Complications occurred in 5.0% of the patients: pneumonia (2.8%), myocarditis (2.2%) and pancreatits (2.2%). Pathogen isolated from patients with typhoid fever had reduced susceptibility to fluoroquinolones. Antimicrobial therapy showed the advantage of the 3 generation cephalosporin (ceftriaxone) compared with ciprofloxacin or a combination of the latter with cefotaxime.
ISSN:0026-9050