There were 46 culture positive cases of enteric fever admitted at the Davao Medical Center from July 1991 to June 1992. Salmonella typhi species was isolated in 40 cases while Salmonella paratyphi was seen in the remaining 6 cases.
The clinical features and laboratory findings in both S. typhi and S. paratyphi were almost similar. Fever was seen in all cases and majority presented with headache and anorexia. In general, however many of the findings vary from the classic picture of enteric fever. Diarrhea was more common than constipation. Hepatosplenomegaly was becoming uncommon. In 50% of cases pulse rate was normal. Rose spots were never observed in the series. More than one-half of cases had normal WBC and differential count. Anemia of less than 10 mg % hemoglobin was seen in 16 cases.
Intestinal bleeding, intestinal perforation and severe toxemia were among the common complications. Two died of intestinal perforation and three died of sepsis. (Author)
The prospective study was undertaken to describe the clinical profile of confirmed cases of enteric fever locally. The study presents the clinical profile of enteric fever from 46 cases seen among adult patients.