USEFULNESS OF ULTRASONOGRAPHY IN DIAGNOSIS OF TYPHOID FEVER
Muhammad Saeed, Mohamed Alsafy
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Definitive diagnosis of typhoid fever is made by hemoculture and serological tests, namely Widal test. The present study was conducted to assess the usefulness of Ultrasonography (USG) in diagnosis of typhoid fever. 74 cases of clinically and laboratory confirmed cases of typhoid fever of both genders underwent USG. Out of 74 patients, males were 44 and females were 30. At day 5 on USG, out of 74 patients, 38 had mesenteric lymph nodes enlargement, 52 patients had splenomegaly, 32 had bowel thickening, 24 had Hepatomegaly and 36 had acalculus cholecystitis. At day 10, 20 had MLNs, 40 patients had splenomegaly, 12 had bowel thickening, 9 had hepatomegaly and 14 had acalculus cholecystitis. At day 10, 8 had MLNs, 23 patients had splenomegaly, 1 had bowel thickening and 5 had acalculus cholecystitis. The difference was significant (P< 0.05). USG was useful in assessment of typhoid fever. Most common USG findings were MLNs, splenomegaly, bowel thickening, hepatomegaly and acalculous cholecystitis.