Trabelsi M, Ben Jaballah N, Mongalgi M A, Najai A
Med Trop (Mars). 1986 Oct-Dec;46(4):349-54.
Based on 140 cases of typhoid fever observed in the pediatrics service of the Menzel Bourguiba hospital (Tunisia), the authors demonstrate that such an endemic disease still exists in rural areas, with a peak during autumn-winter season. They underline the importance of the contamination due to water. The disease strikes all groups of age. Infants represent 15% of the patients. On its clinical and biological aspect, the disease is significantly different in child or infant. Blood cultures are positive in 2/3 of the cases, while fecal cultures are positive only in 1/3 of the cases. Despite some complications occurring in 1/6 of the cases, evolution is generally favourable. However, infant septicemia is severe, causing death in 1/3 of the cases.
基于在突尼斯门泽尔·布尔吉巴医院儿科观察到的140例伤寒热病例，作者证明这种地方病在农村地区仍然存在，在秋冬季节达到高峰。他们强调了水传播污染的重要性。该疾病侵袭所有年龄组。婴儿占患者的15%。在临床和生物学方面，该疾病在儿童或婴儿中明显不同。三分之二的病例血培养呈阳性，而粪便培养仅三分之一的病例呈阳性。尽管六分之一的病例出现了一些并发症，但总体病情发展通常是良好的。然而，婴儿败血症很严重，三分之一的病例导致死亡。
