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KMID : 0367419750160080035
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Journal of Korean Pediatric Society
1975 Volume.16 No. 8 p.35 ~ p.41
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A Statistical and Clinical Studies of Typhoid Fever in Chilhood
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廉殷烈/Yum, Eun Yel
金興圭/金惠眞/金芳枝/Kim, Heung Kyu/Kim, Hae Jin/Kim, Pang Chi
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Abstract
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Clinical studied were made on 122 patients who had treated for typhoid fever at Kwangju Christian hospital, Department of Pediatrics from April 1967 to July 1972.
The results were presented as follows:
1. Seasonal incidence was greatest in September with 17.2%, but generally similar distribution in spring, summer and fall.
2. There was no significant difference according to sex(50.8% and 49.1% female).
The peak incidence occurs between 12 and 15 years of age with 50% of patients in the age group.
The youngest patient was a 17 month old baby.
3. Leukocyte count ranged from 2,300 to 42,750, but 31.1% of patients had a leukocyte count between 5,000 and 7,000.
4. Agglutination titer was positive with H antigens in 59% and O antigents in 48.7%
5. In 26% of patients, each agglutination titer was 1:320 or more.
6. The presenting chief complaint was fever in 87.7%.
7. Bacterial culture was positive in 54.6%, with positive blood culture in 45.7% and positive stool culture in 21% but negative urine culture in all patients.
8. Initial diagnosis was typhoid fever in 79.5%.
9. Stool occult blood was positive in 64.3%.
10. The rate of recurrence cannot be accurately verified, but it appeared that a group of patients treated with chloramphenicol combined with other antibiotics had a lower rate of recurrence than a group treated with chloramphenicol alone.
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