Aim: To determine the general characteristics of children with arthralgia associated with typhoid fever.
Material and Method: General characteristics of the disease and laboratory of children diagnosed with typhoid fever and accompanying arthralgia were investigated from the hospital records. Arthralgia was determined regarding the patients’ personal reports.
Results: We retrospectively evaluated the records of 100 patients (46 female and 54 male) with a mean age of 8.78 ± 4.66 years (range: 5–213 months). The most common locations were knee joint (n: 40) and ankle (n: 39). Regarding hematological findings; leukocytosis was present in 36 patients and leucopenia was present in eight patients; anaemia was present in 12 patients; and abnormalities in thrombocyte count was present in 32 patients. Mean platelet volume was determined to be lower than normal limits in 33 patients. In seven patients, the treatment was started with ampicillin or TMP-SMX but because of the unresponsiveness the treatment was changed with ceftriaxone.
Conclusion: We determined that, in children with arthralgia accompanying typhoid fever; muscle pain and organomegaly were the most common symptoms accompanying arthralgia while knee joint and ankle were the most commonly affected joints. In treatment 3rd generation cephalosporin should be kept in mind in unresponsive patients.
Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.