de Juan Martín F, Pérez Gascón M, Martín Espíldora N
An Esp Pediatr. 1986 Sep;25(3):170-6.
The authors reviewed 210 children with typhoid and paratyphoid fevers; 191 were infected with S. typhi, 13 with S. paratyphi A and 6 with S. paratyphi B. The proportion was higher in school children. Fever, headache, tongue furred, stupor, and hepatomegaly were the most important clinical findings. Salmonella was cultured from the blood of 42% patients, the Widal reaction was negative only in one case, and faeces culture was positive in 25%. All patients received chloramphenicol.
作者回顾了210例伤寒和副伤寒患儿;其中191例感染伤寒杆菌,13例感染甲型副伤寒杆菌,6例感染乙型副伤寒杆菌。在校儿童中的比例更高。发热、头痛、舌苔、昏迷和肝肿大是最重要的临床发现。42%的患者血液培养出沙门氏菌,肥达反应仅1例为阴性,粪便培养阳性率为25%。所有患者均接受了氯霉素治疗。