Abstract
Background: The present study describes the clinical presentation of enteric fever at a tertiary care centre.
 Methods: The study was a hospital based prospective observational study conducted on children of age 2 -18 years who presented with fever of 5 days or more with clinical signs and symptoms suggestive of typhoid fever and positive Widal test or Typhidot tests were included in the study. The demographic and clinical features of the patients were described.
 Results: All the children presented with fever as the main complaint (100%). Commonest sign noticed was toxic look (84%) followed by coated tongue (79%) and splenomegaly (61%). Hepatomegaly was also noted in 34% of cases.
 Conclusion: This study was undertaken to observe the clinical profile of typhoid fever in children admitted in a tertiary care hospital. Typhoid fever remains to be as an endemic disease in this locality. All the signs and symptoms of the disease are nonspecific common with other acute febrile illnesses; a definitive diagnosis of the disease is required for treatment and to prevent transmission.
 Keywords: Enteric fever, Splenomegaly, Toxic look
Highlights
Typhoid fever is a life-threatening disease occurring more frequently in under developed areas of the world and it continues to pose a major public health problem
The study was a hospital based prospective observational study conducted on children of age 2 -18 years who presented with fever of 5 days or more with clinical signs and symptoms suggestive of typhoid fever and positive Widal test or Typhidot tests were included in the study
Commonest sign noticed was toxic look (84%) followed by coated tongue (79%) and splenomegaly (61%)
Summary
Typhoid fever is a life-threatening disease occurring more frequently in under developed areas of the world and it continues to pose a major public health problem. There are around 16 million new enteric fever cases reported globally.[1] The annual incidence of enteric fever has been reported as more than 13 million cases in Asia alone and it causes annual deaths of more than 0.6 million across the world.[2] The incidence of Typhoid fever in India is 2.14 per thousand populations.[3] The incidence of typhoid fever in the younger age group is on the increase and the disease which was reported to be very rare below the age of three years is not correct and there is documented evidence that enteric fever will not spare any age.[4] In endemic areas such as India, traditional signs and symptoms in enteric fever are not often observed. Unusual presentations lead to diagnostic dilemma and may delay the diagnosis of typhoid fever[5,6,7]. The present study describes the clinical presentation ofenteric fever at a tertiary care centre in Rajasthan
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