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Typhoid fever is endemic in Pakistan. Most patients are children. As the symptoms and signs are oftenunspecific, it is difficult to diagnose typhoid fever without blood culture. We retrospectively rev...iewed 51 cases oftyphoid fever who were all admitted from 1 June through 31 August 2002. Sixteen cases were positive by bloodculture and confirmed as typhoid fever. All cases had Salmonella typhi. Although 16 cases were culture-negative,they were clinically diagnosed as typhoid fever. The remaining 19 cases were clinically diagnosed without bloodculture. The clinical features of the culture-confirmed cases were more severe than the culture-negative cases.Mesenteric lymphadenopathy was very frequently detected with ultrasonography, in both culture-confirmed andculture-negative cases. The rates of detecting mesenteric lymphadenopathy were 69% and 63%, respectively.Meanwhile, the rate in non-typhoid fever patients was 5.5%. It was considered that detecting mesentericlymphadenopathy with ultrasonography was very useful in the diagosis of typhoid fever in endemic areas.続きを見る
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