Management of Patient with Typhoid Fever - A Case Report’
Abstract
Typhoid fever is major health problem worldwide. In typhoid fever there are sign symptoms such as Fever, malaise, abdominal discomfort, and other nonspecific symptoms are common, and they are often confused with other causes of febrile syndrome. Patient is having sign symptoms as gastrointestinal symptoms, malaise, hepatomegaly, and high liver enzymes presented with a two-week fever. As a differential diagnosis, a Widal test is done and two blood cultures were requested; both came out positive, confirming the diagnosis of typhoid fever caused by Salmonella typhi. Treatment with ceftriaxone and metronidazole was stared prior to confirmation of the diagnosis, with a partial response; later, pharmacological therapy was altered based on ciprofloxacin susceptibility testing, with a satisfactory clinical response.
We look at how to diagnose and treat enteric fever, with an importance to typhoid fever.
MAIN SYMPTOMS OR IMPORTANT CLINICAL FINDING:-A 6 year old male was admitted in A.V.B.R.H on date 12/03/2021 with chief complain of abdominal discomfort, malaise, problems such as fever since 2 weeks, gastrointestinal symptoms, lethargy, hepatomegaly, and an increased liver enzyme.
THE MAIN DIAGNOSIS, THERAPEUTIC INTERVENTION AND OUTCOMEA case is diagnosed as Typhoid Fever. After physical examination and investigation, doctor was detected a case of 6 week.
Also provide a calcium supplements and iron supplements present case was stable but according to ultrasonography finding. Typhoid fever with patients was treated antipyretic , to reduce fever also to maintain body temperature and provide iron supplementary , protein powder .
OUTCOME: Good sanitation, improved water supply, and a suitable sewage waste matter system, as well as the successful use of existing typhoid vaccinations, can all help to avoid typhoid fever.
NURSING PERSPECTIVE: Administration fluid replacement i.e. DNS and RL monitored vital signs per hourly. Maintained temperature chart 2 hourly strictly, maintained intake output chart properly. Tab. paracetamol, antibiotics given as per doctor’s order.
