Department of Medical Radiography, Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Nigeria.
Department of Medical Radiography, Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Nigeria.
Radiography (Lond). 2024 Aug;30(5):1483-1490. doi: 10.1016/j.radi.2024.08.010. Epub 2024 Aug 27.
Ultrasound has proven to have great potentials in the diagnosis and work-up of patients affected by tropical diseases. Its role in the diagnosis of malaria and typhoid abounds, but its value as a triaging tool in a resource-constrained settings is indistinct. Our review aimed is aimed at assessing the utility of ultrasound in diagnosis and prognosis of malaria and typhoid.
Extensive literature search was conducted using the PubMed electronic database, for original peer reviewed articles in English language within 1964-2023. Keywords like "malaria", "typhoid", "S. Typhi", "Salmonella Typhi", "enteric fever", "ultrasound", "sonography" and "ultrasonography" were searched, using Boolean operators such as (OR, AND) applying the following filters (English, Human). A systematic synthesis of the literature was done.
Our initial search yielded 749 potentially relevant references out of which 55 were found to be eligible. Organs assessed include the liver, spleen, kidneys, intestines, mesenteric lymph nodes, among others. For malaria, pathognomonic conditions like splenic enlargement, hepatomegaly, renal abnormalities as well as mesenteric lymph nodes and intestinal wall thickening in patients with typhoid fever.
Ultrasound by experienced clinicians adds significantly to the diagnosis and work-up of patients with malaria and typhoid fever. However, it is important to note that ultrasound alone may not be sufficient for definitive diagnosis as laboratory tests may still be required for confirmatory diagnosis.
This study provide information on ultrasound in diagnosis of Malaria and typhoid by evaluating the morphological changes in abdominal and other organs of the body. This can be a guide to clinicians and other healthcare providers for early diagnosis and work-up of patients in endemic areas where resources are scarce.
超声在诊断和检查受热带病影响的患者方面已被证明具有巨大的潜力。它在疟疾和伤寒的诊断中发挥了重要作用，但在资源有限的环境中作为分诊工具的价值尚不清楚。我们的综述旨在评估超声在疟疾和伤寒诊断和预后中的应用。
使用 PubMed 电子数据库进行广泛的文献检索，检索范围为 1964 年至 2023 年期间以英语发表的原始同行评审文章。使用“疟疾”、“伤寒”、“S. Typhi”、“Salmonella Typhi”、“肠热病”、“超声”、“超声检查”和“超声检查”等关键词，并使用布尔运算符（如 OR、AND）进行搜索，并应用以下过滤器（英语、人类）。对文献进行了系统综述。
我们最初的搜索产生了 749 篇潜在相关的参考文献，其中 55 篇被认为符合条件。评估的器官包括肝脏、脾脏、肾脏、肠道、肠系膜淋巴结等。对于疟疾，脾脏肿大、肝肿大、肾脏异常以及肠系膜淋巴结和肠壁增厚等特征性病变有助于诊断。对于伤寒，超声有助于诊断。
经验丰富的临床医生进行的超声检查对疟疾和伤寒患者的诊断和检查有很大帮助。然而，重要的是要注意，超声检查本身可能不足以进行明确诊断，因为可能仍需要实验室检查进行确诊。
本研究通过评估腹部和身体其他器官的形态变化，提供了关于超声在疟疾和伤寒诊断中的应用信息。这可以为临床医生和其他医疗保健提供者提供指导，帮助他们在资源匮乏的流行地区对患者进行早期诊断和检查。
