Typhoid fever of a 6 year old boy!
Hello, a six-year-old was suffering from fever up to 41° C for two weeks, which reduced partially with paracetamol. Fever was associated with abdominal pain, headache and repeated watery stools without blood. He also presents anorexia, asthenia, nausea and vomiting. Initially he was handled with hydration, analgesia and antipyretics, without improvement, so hospitalization was decided. Physical examination sows he was febrile, pale, with moderate dehydration, skin without lesions or lymphadenopathy. He had a distended abdomen, slightly depressible deep and painful to palpation, with liver dullness 5 to 6 cm below the costal margin, bowel sounds diminished and Blumberg sign absent. He was diagnosed with typhoid fever. Please recommend some treatment options.
@timir Antibiotic therapy is the only effective treatment for typhoid fever. Commonly prescribed antibiotics include:
Ciprofloxacin (Cipro). In the United States, doctors often prescribe this for adults who aren't pregnant. Another similar drug called ofloxacin also may be used. Unfortunately, many Salmonella typhi bacteria are no longer susceptible to antibiotics of this type, particularly strains picked up in Southeast Asia.
Azithromycin (Zithromax). This may be used if a person is unable to take ciprofloxacin or the bacteria are resistant to ciprofloxacin.
Ceftriaxone. This injectable antibiotic is an alternative in more-complicated or serious infections and for people who may not be candidates for ciprofloxacin, such as children.
These drugs can cause side effects, and long-term use can lead to the development of antibiotic-resistant bacteria