Diagnosis & Management of an Enteric Fever Case in a Small Setting– A Case Report

Enteric fever is an important public health problem in developing and underdeveloped countries. It is mainly caused due to contaminated food or water and poor personal and food hygiene. Despite a century-old history of the diseases, the progress in its diagnostic tools is limited, age-old Widal test and treatment by empirical Antibiotic therapy continues to be the choice. Here, we present one such case managed in a smaller setting with serological diagnosis and empirical Antibiotic therapy. A 26-year-old male working graduate with a one-week history of evening rise of temperature with chills, heaviness of head and pain abdomen lasting for about one hour, associated with loose stools (5-6times), Nausea, loss of taste and severe body ache in early March 2021. He gave frequent travel history and consumption of street food and poor sleep for a week before the presentation. Typhoid was suspected based on clinical features, Widal test and other supportive blood tests. The same tests were repeated three times over 2 weeks to monitor the prognosis of the condition. The case was treated by cephalosporin, Antipyretics, Fluoroquinolone and Macrolide, temperature became normal after 3 days of day-care, followed up after 5 days & 8 days and confirmed to be back to Normalcy.