No abstract available.
Typhoid Fever*

Typhoid fever is a systemic infection caused by Salmonella typhi, which may be associated with extra-intestinal complications. Neurological manifestations, particularly Parkinsonism, are rarely reported. We report a 17-year-old patient with relapsed culture-proven Salmonella typhi infection who developed septic shock and subsequently Parkinsonism. Lumbar puncture revealed acellular cerebrospinal fluid with raised protein level. Magnetic resonance imaging revealed cerebral petechial haemorrhages resulted from small vessels vasculitis. His symptoms resolved spontaneously after 3 months.
Typhoid Fever

A study aims to determine the etiological spectrum of the essential fever, the danger of typhoid in status of the long-lasting fever as well as the epidermiological and clinical features and tests which related with the experiences in diagnosis. The subjects included all adult patients admitted to the department of the essential fever in the Institute of the Clinical Medicine and Tropical disease in Ho Chi Minh city during 8/1995 12/1998. A retrospective and descriptive study has shown that there were 154 patients with ages of 36+/- 14; the average duration of fever before admitting to hospital was 48+/- 36 days; there were 92 patients were treated before admission.
Typhoid Fever ; Fever

Morbidity and mortality of typhoid fever in Dong Thap province had reduced gradually in the last 10 years. The number of typhoid fever between 1999 and 2003 was equal to a third cases occurred between 1994 and 1998. There had been 29 of dead cases resulting from typhoid fever for ten years. The highest number of dead cases in 1995 was 6. The death to incidence ratio was 0.076%
epidemiology ; Typhoid Fever ; Fever

A study on the clinical symptoms and blood culture in 81 patients with typhoid septicemia has shown that the most typical symptoms in the typhoid septicemia comprised continuous high fever, anorexia, bloating and headache. Other symptoms comprised erythematosus, nose bleeding, hepatomegaly, spleenmegaly and diarrhea. The blood culture aimed at identifying the causative bacterial had a high positive rate within 96 hours after fever. This rate was very low in cases of antibiotic administration at home
Typhoid Fever ; blood

The immune status in 26 typhoid fever patients has been studied. They are 15 males, 112 females from 16 to 30 years old. This study reveals that: during the fever period of the disease, pronounced disturbances in immune, homeostasis are observed, which are manifested by lymphopenia, with a considerable rise of natural killer (NK) and active rosette forming cells (Ea). At the period of convalescence, the parameters decreased to normal value, except a mild increase of immunoglobulin (IgM, IgG)
Typhoid Fever ; Autoimmunity

Results after 2 years of studying on 403 patients showed that: CM(+) rate was 14,8%. The rate of temporary Salmonella carriers (who treated as antibiogram in the hospital after 3 months, CP(+): 10% in 1998 and 0% in 1999. The rate of Salmonella carriers contacted with patients, patients' relatives: 19,9% in 1998 and 0% in 1999. The rate of healthy Salmonella carriers: 1% in 1998 and 0% in 1999. The rate of chronic Salmonella carriers (people with disease free after 1 year CP(+): 8,3% in 1998 and 0% in 1999). After treatment by 1-2 courses of antibiotic as antibiogram, all Salmonella carriers were Salmonella free according to the results of culture
Typhoid Fever ; Salmonella ; epidemiology

According to reported data from provinical centers of preventive medicine, 177. 737 typhoid fever cases, 137 deaths were recorded all over the country in the period from 1991-2000. In 27 provinces of the North, there were 15.087 cases and 44 deaths, and accounting for 8.5% and 32.4% of the total cases and deaths, respectively. Typhoid fever was found mainly in mountain provinces, the morbidity per 100.000 inhabitants was in Lai Chau: 94.16; Lang Son: 22.21; Ninh Binh: 18.69; Lao Cai: 14.22. Typhoid fever occurred whole year round. It was more prevalent from May to October. Especially in June, July, August and September. Morbidity of typhoid fever in children aged under 15 made up 50%. Thus, vaccineation for this high-risk group is necessary
Typhoid Fever ; epidemiology

During 1998-1999, among 403 typhoid fever patients at CaiLay district hospital, 359 cases were taken blood culture. The positive blood culture rate was 14,8%. 44 positive cases were followed up for stool culture after the treatment. The positive stool culture rate was 10% in 1998 and 0% in 1999. Suspected typhoid fever cases and positive blood culture cases were mainly from 5 to 19 years-old with the peak at age group from 5 to 9 years-old. Typhoid fever rate was high from the end of dry season and during the rainy season. Among positive blood culture cases, S.typhi was isolated in 50/53 cases and S. paratyphi in 3/53 cases. Resistance rates to ampicilline and Bactrim were over 90%, to chloramphenicole and amoxicilline over 80%. Sensitive rates to ciprofoxacin were 90%.
Typhoid Fever ; therapeutics

The study was carried out from May 1998 to October 1999 in 341 case and 341 control subjects, matched with sex and age. The results show that there are many risk factors associated with Salmonella typhi causing the typhoid fever such as education levels, family components, living near a discharged typhoid fever patient, near a rubbish heap, drinking water without boiling, eating at road stalls... in the univariate analyzed process with Odds Ratio >1 and P<0.05. However, eating raw vegetable, living near a discharged typhoid fever patient, and living near a rubbish heap were risk factors go into the multivariate Logistic Regression Analysis.
Typhoid Fever ; Risk Factors