enteric fever.pdf

Enteric fever Dr. Twinamasiko (MBChB, EADTMH, MMed, Lown Scholar)  Case discussion: 29 year old male, presented with 1 week history fever, headache, vomiting, abdominal pain. No comorbidities Taken anti-malarial, no effect Admitted to hospital O/e fever 39.1, p...

Enteric fever Dr. Twinamasiko (MBChB, EADTMH, MMed, Lown Scholar)  Case discussion: 29 year old male, presented with 1 week history fever, headache, vomiting, abdominal pain. No comorbidities Taken anti-malarial, no effect Admitted to hospital O/e fever 39.1, p 120, BP 90/60, mild abdominal tenderness, no localising signs Started on IV fluids & ciprofloxacin  Questions What differential diagnoses do you consider? What management do you initiate? What investigations do you undertake?  Case cont… 3 days later he remains unwell. Vomiting subsided but persistent temperature >38.5 You receive some blood test results……  CBC RFTs, LFTs – Hb 14.2 – Urea 11.4 (