A Case Report "Typhoid Resistant to Chloramphenicol"

Abstract

Typhoid fever is an infection caused by a strain of bacteria called Salmonella typhi, which is related to the bacteria that causes salmonella food poisoning. The infection can affect the whole body and damage multiple organs. Unless treated, this infection can have life threatening consequences. A 20 year old girl was examined suffering from high fever from one week and abdominal pain for few days. The patient had suffered from typhoid fever last year. Ultra-sonogram of abdominal, hematology-cell analysis, serology (widal test), urine analysis and blood culture were performed for accurate diagnosis. Ultra-sonogram shows multiple organ infection by Salmonella typhi. Hematological analysis shows the elevated level of tlymphocytes and anemia. In widal test, patient serum was agglutinated with the bacterial antigen i.e. lipopolysaccharide and flagellar proteins. The typhidot test was positive for IgG. The patient was diagnosed with typhoid fever. Patient possesses multi drug resistance and the rational treatment was with ceftriaxone for one week and patient recovered.