Issue: 2017, Vol. 22, No. 3
A CASE OF ABDOMINAL FEVER IN A PATIENT WITH PREGNANCY
- Keywords
- abdominal fever, clinical picture, epidemiology, treatment, pregnancy
- Abstarct
- A case of abdominal fever was registered in a Russian national in Ivanovo region on the background of favor epidemiological situation in 2017. The patient consulted the doctor on the 9th day of the disease only. The abdominal fever was diagnosed on the 6th day of the hospitalization in the infectious department (the 15th day of the disease) by blood and feces bacteriological analysis. The clinical picture of the disease was rather slight and was characterized by 14 day fever, moderately expressed intoxication, hepatomegaly and splenomegaly. The only one “classic” symptoms of abdominal fever was marked - it was typical tongue condition. At the same time the patient was not characterized by typhoid status manifestations, exanthema, vagotonia, headache, insomnia, stool retention. Hemogram alterations were not typical. The presence of the progressive pregnancy (from 14 to 19 weeks) was the peculiarity of this case. The signs of fetus hypoxia, fetus development arrest, threat for pregnancy interruption were absent. Epidemiologically the contamination with abdominal fever was connected with the temporary residence of the patient in India; the source of the infection was not revealed. The realization of the complex of antiepidemic measures allowed to localize the infection focus and to prevent the beginning of repeated abdominal fever diseases.
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