Relapse typhoid fever in North-eastern state in Malaysia  

作　　者：Zakuan Zainy Deris Siti Suraiya Md Noor Nor Hashimah Abdullah Abdul Rahman Noor 

机构地区：[1]Department of Medical Microbiology and Parasitology,Universiti Sains Malaysia,Kubang Kerian,Kelantan,Malaysia [2]Kelantan State Department of Public Health,Kota Bharu,Kelantan,Malaysia [3]Department of Pharmacology,School of Medical Sciences,Universiti Sains Malaysia,Kubang Kerian,Kelantan,Malaysia

出　　处：《Asian Pacific Journal of Tropical Medicine》2010年第1期48-50,共3页亚太热带医药杂志（英文版）

摘　　要：Objective:To discuss the prevalence,clinical and laboratory presentations of relapse typhoid fever.Methods:All relapse cases were reviewed to identify the clinical and laboratory presentation of the relapse typhoid fever.Results:Two hundred and forty six patients were admitted to a teaching tertiary hospital in North-eastern state of Malaysia and fourteen(5.69%) relapse cases were identified.The duration of relapse after the patient was discharged was(25.0±9.9) d.The patients presented with fever,diarrhoea,headache,abdominal pain and constipation. The duration of fever before admission in the initial episode[(8.6±4.2) d]was significantly longer than the relapse episode[(5.0±2.5) d](P=0.019).Four patients have hepatomegaly in initial episode and ten in relapse episode(P=0.852).The defervescence days of initial episodes was (3.2±2.2) d,comparing to relapse episode[(2.0±1.8) d]which was statistically not significant (P=0.124).Conclusion:Assumption of the relapse typhoid fever is milder comparing to original episodes based on observation and is not supported by statistical analysis.Objective:To discuss the prevalence,clinical and laboratory presentations of relapse typhoid fever.Methods:All relapse cases were reviewed to identify the clinical and laboratory presentation of the relapse typhoid fever.Results:Two hundred and forty six patients were admitted to a teaching tertiary hospital in North-eastern state of Malaysia and fourteen(5.69%) relapse cases were identified.The duration of relapse after the patient was discharged was(25.0±9.9) d.The patients presented with fever,diarrhoea,headache,abdominal pain and constipation. The duration of fever before admission in the initial episode[(8.6±4.2) d]was significantly longer than the relapse episode[(5.0±2.5) d](P=0.019).Four patients have hepatomegaly in initial episode and ten in relapse episode(P=0.852).The defervescence days of initial episodes was (3.2±2.2) d,comparing to relapse episode[(2.0±1.8) d]which was statistically not significant (P=0.124).Conclusion:Assumption of the relapse typhoid fever is milder comparing to original episodes based on observation and is not supported by statistical analysis.

关 键 词：RECURRENCE TYPHOID FEVER SALMONELLA Typhi MALAYSIA 

分 类 号：R516.3[医药卫生—内科学]