Arjunan Maripandi, Al-Salamah Ali A
Unit of Medical Bacteriology, Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia.
J Infect Dev Ctries. 2010 Oct 4;4(9):593-6. doi: 10.3855/jidc.1010.
A six-year-old boy with high-grade fever and abdominal pain in the epigastric region was examined with ultrasonogram of the abdomen. Hematology-cell analysis, serology (Widal test), urine analysis, and blood cultures were also performed. The ultrasonogram was helpful for the identification of multiple organ involvement with Salmonella typhi. The results revealed mild hepatosplenomegaly, minimal ascitis, and mesenteric lympoadenopathy. Hematological analysis showed a white blood count of 6,300 cells mL-1; a red blood cell count of 4.54 million/cu mm. The erythrocyte sedimentation rate (ESR) was 24 mm/1 hr; hemoglobin level of 11.5 g/dl; and a platelet count of 206,000 cells/mL. The patient's serum was agglutinated with lipopolysaccharide (TO), the titre value was 1:320 dilution, and flagellar antigen (TH) titre was 1:640. The patient was diagnosed with typhoid fever. Ceftriaxone was given intravenously for five days and the patient fully recovered.
一名6岁男孩，伴有高热和上腹部腹痛，接受了腹部超声检查。还进行了血液细胞分析、血清学检查（肥达试验）、尿液分析和血培养。超声检查有助于识别伤寒沙门菌引起的多器官受累情况。结果显示轻度肝脾肿大、少量腹水和肠系膜淋巴结病。血液学分析显示白细胞计数为6300个/毫升；红细胞计数为454万/立方毫米。红细胞沉降率（ESR）为24毫米/1小时；血红蛋白水平为11.5克/分升；血小板计数为206000个/毫升。患者血清与脂多糖（TO）发生凝集，滴度值为1:320稀释，鞭毛抗原（TH）滴度为1:640。该患者被诊断为伤寒热。静脉注射头孢曲松五天后，患者完全康复。
