Volume 31, Issue 2, July 2017, Pages 287–294
M. OGWA1, L. WENDA2, B. LISIMO3, L. LOMBOTO4, and José K.E. MOKILI5
1 Institut supérieur des techniques médicales de Basoko, RD Congo
2 Institut supérieur des techniques médicales de Basoko, RD Congo
3 Institut supérieur des techniques médicales de Basoko, RD Congo
4 Institut Supérieur d’Etudes Agronomiques de Basoko, RD Congo
5 Institute of higher learning of the Medical Techniques of Basoko, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A sample of 57 diagnosed children and treaty for case of typhoid fever at the Général hospital of reference of Basoko had been the subject of our investigations. After the analyses, it was revealed that the typhoid fever is observed more during January, Mars and October with Basoko over the twelve months of the year. The children whose age bracket varies from 3 to 5 years are reached than the others. Paludism and helminthiasis are the pathologies most associated the typhoid fever. Hyperthermia, the abdominal pain, gargouillement, the cephalgia, the stiffness of the nape of the neck and the physical asthenia are the clinical signs most characteristic of the typhoid fever. The current treatment of the typhoid fever rests on antibiotics with strong intracellular penetration, especially intra-macrophagic. With this intention, the synergy of cephalosporine of 3rd generation with the phénicole one, associated Dexaméthasone into intravenous slow during 10 minimum days constitute a treatment of success, with a reduction of mortality of 10% against that of 50% without Dexaméthasone. The factors of risks the most accused in the contamination of the typhoid fever in the children are insufficient hygiene and the consumption of the fruits without washed. The diagnostistic difficulties are due to the lack of the equipment of biological diagnosis specific, to the limits of the clinical signs in the zones of endémie and the bad interpretation of the sérodiagnostic of Widal Felix.
Author Keywords: Diagnosis, dealt with, typhoid fever, child, treatment, factors of risk.
M. OGWA1, L. WENDA2, B. LISIMO3, L. LOMBOTO4, and José K.E. MOKILI5
1 Institut supérieur des techniques médicales de Basoko, RD Congo
2 Institut supérieur des techniques médicales de Basoko, RD Congo
3 Institut supérieur des techniques médicales de Basoko, RD Congo
4 Institut Supérieur d’Etudes Agronomiques de Basoko, RD Congo
5 Institute of higher learning of the Medical Techniques of Basoko, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A sample of 57 diagnosed children and treaty for case of typhoid fever at the Général hospital of reference of Basoko had been the subject of our investigations. After the analyses, it was revealed that the typhoid fever is observed more during January, Mars and October with Basoko over the twelve months of the year. The children whose age bracket varies from 3 to 5 years are reached than the others. Paludism and helminthiasis are the pathologies most associated the typhoid fever. Hyperthermia, the abdominal pain, gargouillement, the cephalgia, the stiffness of the nape of the neck and the physical asthenia are the clinical signs most characteristic of the typhoid fever. The current treatment of the typhoid fever rests on antibiotics with strong intracellular penetration, especially intra-macrophagic. With this intention, the synergy of cephalosporine of 3rd generation with the phénicole one, associated Dexaméthasone into intravenous slow during 10 minimum days constitute a treatment of success, with a reduction of mortality of 10% against that of 50% without Dexaméthasone. The factors of risks the most accused in the contamination of the typhoid fever in the children are insufficient hygiene and the consumption of the fruits without washed. The diagnostistic difficulties are due to the lack of the equipment of biological diagnosis specific, to the limits of the clinical signs in the zones of endémie and the bad interpretation of the sérodiagnostic of Widal Felix.
Author Keywords: Diagnosis, dealt with, typhoid fever, child, treatment, factors of risk.
Abstract: (french)
Un échantillon de 57 enfants diagnostiqués et traité pour cas de fièvre typhoïde à l’hôpital Général de référence de Basoko avait fait l’objet de nos investigations. Après les analyses, il a été révélé que la fièvre typhoïde s’observe plus pendant les mois de Janvier, Mars et octobre à Basoko sur les douze mois de l’année. Les enfants dont la tranche d’âge varie de 3 à 5 ans sont plus atteints que les autres. Le paludisme et l’helminthiase sont des pathologies les plus associées à la fièvre typhoïde. L’hyperthermie, la douleur abdominale, le gargouillement, la céphalée, le raideur de la nuque et l’asthénie physique sont des signes cliniques les plus caractéristiques de la fièvre typhoïde. Le traitement actuel de la fièvre typhoïde repose sur les antibiotiques à forte pénétration intracellulaire, surtout intra-macrophagique. Pour ce faire, la synergie de céphalosporine de 3ème génération avec le phénicole, associé à la Dexaméthasone en intraveineuse lente pendant 10 jours minimum constituent un traitement de succès, avec une réduction de mortalité de 10% contre celle de 50% sans Dexaméthasone. Les facteurs de risques les plus incriminés dans la contamination de la fièvre typhoïde chez les enfants sont l’hygiène insuffisante et la consommation des fruits sans lavés. Les difficultés diagnostistiques sont dues au manque du matériel de diagnostic biologique spécifique, aux limites des signes cliniques dans les zones d’endémie et la mauvaise interprétation du sérodiagnostic de Widal Félix.
Author Keywords: Diagnostic, prise en charge, fièvre typhoïde, enfant, traitement, facteurs de risque.
How to Cite this Article
M. OGWA, L. WENDA, B. LISIMO, L. LOMBOTO, and José K.E. MOKILI, “DIFFICULTE DIAGNOSTIQUE ET PRISE EN CHARGE DE LA FIEVRE TYPHOIDE CHEZ LES ENFANTS EN MILIEU RURAL EN RD CONGO (CAS DE L’HGR DE BASOKO),” International Journal of Innovation and Scientific Research, vol. 31, no. 2, pp. 287–294, July 2017.
