Volume 58, Issue 2 (7 2000)                   Tehran Univ Med J 2000, 58(2): 14-18 | Back to browse issues page

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Khotaeei Gh. Study of 163 children with invasive Salmonella infection in pediatric medical center1. Tehran Univ Med J. 2000; 58 (2) :14-18
URL: http://tumj.tums.ac.ir/article-1-1400-en.html
Abstract:   (3428 Views)
Invasive salmonellosis is common in tropical areas. This study examines the performance of a clinical definition for its recognition among children ages 1 to 14 years admitting to a referral pediatric hospital in Tehran. 60 children were enrolled into the study during a period of 51 months. To facilitate analysis, cases were divided into 5 categories according to the likelihood of invasive salmonellosis with category A representing microbiologically confirmed salmonella bacteremia 17 (28.3%) and 6 (10%) with positive bone marrow cultures. And category D representing those cases in which an alternative diagnosis was firmly established. Salmonella serology supported invasive salmonellosis as the diagnosis in 17 (28%) of the nonbacteremic children (category B and C). Salmonella serology suggested that invasive salmonellosis without detectable bacteremia was common. Blood culture proved and serologically diagnosed cases shows that the definition has a specificity of at least 60%.
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