Even typhoid can have chills and rigors
New Delhi: Wednesday, 6
February 2013: Changing
trends have been reported in typhoid fever since last decade. Continuous and
intermittent fever with rigors and chills, headache, body aches, abdominal pain,
enlarged spleen, enlarged liver, high pulse rate, and deranged liver functions
are more commonly observed in typhoid fever reports Dr NS Neki, Assistant Professor Dept. of Medicine Govt. Medical
College Amritsar, Punjab in January issue
of Indian Journal of Clinical Practice.
In the study of 100
patients 48, 30, 14 and 8 were in the age group of 20-30, 31-40, 41-50 and
51-60 years, respectively. In all the patients, fever (100-104°F) was the major
presenting symptom. Duration of fever was one week in 32%, 1-2 weeks in 40%,
2-3 weeks in 20%, 3-4 weeks in 7% and
>4 weeks in 1% patients. 65 patients
presented with continuous fever and 32% with intermittent fever and 3% with remittent
fever.
Sixty percent
patients presented with rigors and chills and 40% without rigors and chills.
Headache was reported in 80%, body ache in 60%, abdominal pain in 13%, cough in
10%, nausea in 4%, constipation in 2% and vomiting is 2% cases.
Clinical findings
were enlarged spleen in 70%; high pulse rate in 65%; enlarged liver in 23%,
coated tongue 12%; relative slow pulse rate in 3% and irritation of the brain
layers in 3% with stupor in 1%.
Laboratory findings
were anemia with Hb 6-11 g/dl in 25%; severe anemia with Hb <6 g/dl in 16%;
neutropenia or low white cells in 9%; lymphopenia
in 4%; lymphocytosis in 2%; low platelet count in 4 %; raised liver enzymes
SGOT and SGPT in 42%; raised alkaline phosphatase in 7% and raised serum
bilirubin in 5% cases.
Presence of fever
with child and rigors does not always mean malaria or urinary tract infection.
If the fever is continuous one should look for typhoid. Raised SGOT and SGPT
levels can be present in most viral fevers especially in the dengue season,
said Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal, Editor in Chief IJCP.
About
HCFI : The only National Not for profit NGO, on whose
mega community health education events, Govt. of India has released two
National commemorative stamps and one cancellation stamp, and who has conducted
one to one training on” Hands only CPR” of 26404 people
since 1st November 2012.
The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress
the centre of the chest of the dead person continuously and effectively with a
speed of 10x10 i.e. 100 per
minute.”
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