Typhoid Fever

Initial Date Of Blog Posted : 2017/11/01

Typhoid Fever Is Also Know As Enteric Fever .Typhoid Is Caused By Salmonella Typhi.

There Are Two Types Of Enteric Fever

• Typhoid Fever
• Parathyroid Fever

Symptoms Of Typhoid Fever Are :

• Fever
• Severe Headache
• Anorexia [Eating Disorder]
• Relative Bradycardia [P = 0.003]
• Splenomegaly [ Enlargement Of Spleen( फियो को बृद्धि)]

Incubation Period : 10-14 days

Mode Of Infection :

• It’s transmitted by Faecal-Oral Route
• It’s also transmitted by Contaminated Water,Milk & Foods.

Differential Diagnosis [ Same Signs & Symptoms For Other Disease ]

• Tuberculosis
• Malaria
• Kala-azar

Investigation : 

Blood Test :
Total Count (TC), Differential Count (DC) , Hemoglobin (Hb%),ESR
• Serology [ Diagnostics examination of blood serum ] :
Widal Test [ Presumptive diagnosis of typhoid ]
• Stool Culture in 3rd week and Urine Culture in 4th week

Treatment :

• Bed rest

• Care of mouth,eye,skin

•Tab. Ciprofloxacin 500 mg X  12 hours X 14 days • Chloramphenicol 750 mg X 6- hourly till fever persist then 500 mg X 6 – hourly for 14 days

• Amoxicillin 750 mg X 6 hourly

• Cotrimoxazole 960 mg X 12 hours

Complications :

• Bowel Perforation
• GI bleeding
• Cholecystitis
• Pneumonia
• Myocarditis
• Meningitis

Preventive Measures :

• Public awareness about hand washing
• Pasteurize or boil milk
• Control fly bleeding

Vaccine :

• Monovalent typhoid vaccine
• Bivalent typhoid vaccine
• TAB vaccine

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