Symptoms, Causes, Treatment, Medicine
Typhoid fever is an acute intestinal infection caused by Salmonella typhi bacteria.
Route of transmission
The source of infection is typhoid fever or typhoid carriers.
The germs are excreted with the patient’s feces, then spread through impure hands, water and utensils or by flies.
Therefore, the disease is particularly exposed to spread in areas with poor sanitation. High-risk period In one year,
the incidence rate is highest in summer and autumn, but in some areas, it can occur all year round.
early infected, the patient will have a fever, body temperature continued to rise to 40 degrees Celsius,
and maintain high fever up to one to two weeks. During this period, the patient will be pale, tired, loss of appetite,
constipation, abdominal cough, shortness of breath, cough, and weakened pulse, the spleen will also enlarge.
If the diagnosis is not early, typhoid fever can cause various complications, including Intestinal bleeding, Intestinal perforation,
Methods are mainly blood tests such as blood routine and blood culture.
Therefore the chance of positive blood culture in the first week after onset can be as high as 80%.
Serological tests such as the fat test are helpful for assisted diagnosis.
In addition, by collecting the patient’s stool, urine and bone marrow samples for culture, it is possible to directly prove the existence of typhoid bacteria.
Treatment options include bed rest, an easy-to-digest diet, and changes in body temperature, pulse, and blood pressure.
Symptomatic treatment can be used for fever and constipation. There are many choices for antibiotics, including chloramphenicol, co-trimoxazole, ampicillin, and fluridone.
Other complications such as intestinal bleeding, intestinal perforation, and cholecystitis require surgery.