Suspected Case Of Typhoid Fever In A 9 Months Old Boy With Negative Widal Test

摘要

We report a case of 9 months old boy with typhoid fever and negative Widal test and no malaria parasites were observed through microscopy and rapid diagnostic test. This case highlights a typical clinical scenario of the management of febrile children in resource limited setting. He presented with fever, chills, vomiting, diarrhoea, cough and difficulty in breathing. With the non-availability of the sensitive Amikacin and Cefotaxime, Ceftriaxone therapy was used and the patient recovered. Diagnostic bottlenecks, antibiotics resistance and antibiotics availability are some major challenges observed in the management of bacterial infections in resource poor settings.