This document contains a case report of a 12-year old male patient admitted to the hospital with complaints of high fever, body aches, vomiting and malaise. Laboratory tests confirmed the diagnosis of typhoid fever. The patient was treated with intravenous antibiotics, antipyretics and other supportive medications over a period of 3 days, after which his fever and other symptoms were controlled. The pharmacist made recommendations to rationalize the treatment and provide counseling to the patient regarding prevention of future typhoid infections.

1. Presented by;
Rushikesh D. shinde
B. Pharmacy( IV year)
Anuradha college of pharmacy
Chikhli Dist; Buldana

2. 1. Patient Demographics
Name : Master Nitin Khedekar.
Sex : Male.
Age : 12 years. Weight : 23kg
IP.No. : 12
Ward : General.
D.O.A. : 30/01/14 D.O.D. : 01/02/14
SUBJECTIVE DATA

3. 2. Reasons for Admission
C/O (Complaints of)
- High fever
- Bodyache
- vomiting
- Malaise
O/E (On Examination)
- Pallor
-White furs on tongue
-Febrile (102°F)

4. 3. Allergies
No.
4. Past Medical History
No.
5. Past Medication History
No.
6. Complementary & Alternative Medicine /OTC Drugs
No.
7. Social History
No.

5. 1. System Examination
- Temperature -102 ⁰ F (38.8⁰C)
2. Laboratory Investigation
OBJECTIVE DATA
BLOOD REPORTS DATE: 30/01/14
Widal test is "POSITIVE"
1 : 80 1 : 160 1 : 320
S.Typhi ‘O’ POSITIVE POSITIVE NEGATIVE
S.Typhi ‘H’ POSITIVE POSITIVE NEGATIVE

6. EXAMINATION OF URINE
Gross Yellow :
cloudy
pH Acidic
Specific gravity Q. Not
spt.
Sugar[Glucose Oxidase] Nil
Protein Nil
Billirubin {B.P} Absent
Urobillirubinogen{B.S} Absent
Blood Absent
Microscopic examination
Pus cells 00-02/hpf
Red cells Nil.
Epithelial cells 00-02/hpf
Crystals Nil.
Casts Nil.
Bacteria Absent
Other Absent

7. Sr.No. Brand Name Generic Name Dose Frequency
1. Inj. Taxim Cefotaxime 1gm O.D.
2. Inj. Omikasin Amikacin sulphate 500mg B.D.
3. Inj. Sumo L Paracetamol 100mg O.D.
4. Inj. Emset Ondansatron 2mg O.D.
ASSESSMENT
1. Final Diagnosis
Typhoid fever
2. Treatment Plan
DAY 1 PLAN: 30/01/14

8. Sr.
No.
Brand Name Generic Name Dose Frequency
1. Inj. Taxim (with 5%
dextrose solution)
Cefotaxime 1gm O.D.
2. Inj. Emset Ondansatron 2mg
3. Inj. Rantac AMP Ranitidine 50mg
4. Inj. Dexona Dexamethasone 4mg
5. Tab. Eofil forte Diethylcarbamazine
Chlorpheniramine
250mg
4mg
T.I.D.(1/2)
6. Tab. Calpol Paracetamol 650mg T.I.D.(1/2)
DAY 2 PLAN: 31/01/14

9. Sr.
No.
Brand Name Generic Name Dose Frequency
1. Inj. Taxim (with 5%
dextrose solution)
Cefotaxime 1gm O.D.
2. Inj. Emset Ondansatron 2mg
3. Inj. Rantac AMP Ranitidine 50mg
4. Inj. Dexona Dexamethasone 4mg
5. Tab. Eofil forte Diethylcarbamazine
Chlorpheniramine
250mg
4mg
T.I.D.(1/2)
6. Tab. Calpol Paracetamol 650mg T.I.D.(1/2)
DAY 3 PLAN : 01/02/14

10. Sr.
No.
Brand Name Generic Name Dose Frequency
1. Inj. Calforan Cefotaxime 1gm O.D.
2. Tab. Eofil forte Diethylcarbamazine
Chlorpheniramine
250mg
4mg
T.I.D.(5 days)
3. Tab. Calpol Paracetamol 650mg T.I.D.(1/2 for
5 days)
4. Tab. Eurox - O Ofloxacin
Cefexime
200mg
200mg
B.D. (5 days)
DISCHARGE SUMMARY
DATE:- 01/02/14
General Condition: Fever in control , vomiting in control
& Patient feels relax.
Recommendation :- Visit after 7 days.

11. Sr.
No.
Brand Name Generic Name Dose Frequency
1. Diorylate
powder
NaCl, KCl,
Glucose
5gm/200ml
Water
B.D.
2. Tab. Calpol Paracetamol 250mg B.D.
3. Tab. Zofran Ondansatron 4mg O.D.
PHARMACIST INTERVENTION
•Irrational finding
Breaking of tablets to 1/2 suggested by prescriber was found to
be irrational use in medication.
•Pharmaceutical Care Plan
DAY 1 PLAN

12. Sr.
No.
Brand Name Generic Name Dose Frequency
1. Inj. Cefixon Ceftrixone 250mg O.D.
2. Tab. Calpol Paracetamol 250mg B.D.
3. Tab. Zofix Ofloxacin
Cefexime
200mg
200mg
B.D.
4. Cap. RD (50) Rabeprazole
melate
20mg O.D.
DAY 2 & 3 PLAN

13. •Patient Counseling
 Food and water hygiene should be maintained.
 Use packed or boiled water for drinking.
 Patient should go through TYPHOID VACCINATION.
(Typhoid Polysaccharide Vaccine - Typhim Vi & Tpherix).
 The most important action is to safe drinking water & disposal
of sewage.
 Do not eat road side cooked food.
 Only eat fruits & vegetables you can peel.