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Typhoid and Paratyphoid Fever in 192 Hospitalized Children in Thailand
Usa Thisyakorn, MD;
Pethai Mansuwan, MD;
David N. Taylor, MD
Am J Dis Child. 1987;141(8):862-865.
Abstract
• From 1977 to 1984, Salmonella typhi was isolated from 85% and Salmonella paratyphi A was Isolated from 15% of 192 Thai children with enteric fever at children's Hospital, Bangkok. Children with enteric fever presented with sudden onset of fever and gastrointestinal symptoms. Diarrhea occurred in 62% of children with paratyphoid fever and 36% of children with typhoid fever. Rose spots were seen in 15% of patients with typhoid and 7% of patients with paratyphoid fever. There were no deaths. Bronchitis and pneumonia occurring In 11% of patients were the most common complications. Acute hemolysis occurred in 3% of the patients with typhoid fever who had thalassemia or glucose-6-phosphate dehydrogenase deficiency. Chloram-phenicol-resistant S typhi, which accounted for 70% of the isolates in 1977, has since 1982 accounted for less than 2% of isolates.
(AJDC 1987;141:862-865)
Author Affiliations
From the Division of Infectious Disease, Children's Hospital, Bangkok, Thailand (Drs Thisyakorn and Mansuwan); and the Department of Bacteriology, Armed Forces Research Institute of Medical Sciences, Bangkok (Dr Taylor). Dr Thisyakorn is now with Chulalongkorn Hospital, Bangkok.
Footnotes
Accepted for publication Dec 23,1986.
Reprint requests to Department of Bacteriology, AFRIMS, Rajvithi Road, Bangkok 10400, Thailand, or, from the United States, APO SF, CA 96346-5000. (Dr Taylor).
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