Typhoid Fever

Typhoid fever is caused by bacteria called Salmonella typhi (S. Typhi). The incubation period is 7 to 14 days. Typhoid fever is a serious and potentially fatal bacterial infection.

Causes

The bacteria that causes typhoid fever — S. typhi — spreads through contaminated food, drink, or water.

Symptoms and signs

First weeksecond weekThird weekFourth week
Fever, 39–40°C (103–104°F)First week symptoms loss of appetite, weight losssymptoms gradually improve
Abdominal painswelling of the abdomenmyocarditis 
Constipation or diarrhoeaslowing of the heartbeatphysical exhaustion 
Vomiting
(children)
 bouts of foul-smelling, yellow-green, watery diarrhoea 
Dry cough severe swelling of the abdomen 
Dull headache in the front of the head rapid breathing,

 

perforation of the bowel

 
Delirium Confusion,
apathy,
psychosis
 
Skin rash(pink spots 1–4 cm wide)  internal bleeding 
Malaise multiple organ failure 
Typhoid fever

Investigations

  • Complete blood count
  • Blood and stool culture
  • Platelet count
  • ELISA urine test
  • Fluorescent antibody study

Treatment

Self-care

  • Drink plenty of fluids
  • Lots of bed rest
  • Eat regular meals

Ayurvedic Medicines promise a complete cure without any complications.

Surgery

Complications

  • Intestinal perforation and haemorrhage
  • Kidney failure
  • Peritonitis

Prevention

  • Vaccines are recommended for travel outside and during epidemic outbreaks.
  • At-risk travellers should drink only boiled or bottled water and eat well-cooked food.
  • Adequate water treatment, waste disposal
  • Protection of food supply from contamination

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