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Symptoms of typhoid fever get worse as the disease progresses. First of all it must be said that the incubation phase of the disease (between seven and 15 days) is silent, that is, without symptoms. The patient has no idea that he has contracted the bacterium Salmonella typhi, which can be transmitted through drinking water or food contaminated with infected human excrement.
Symptoms of typhoid fever from the beginning to the end of the disease
– There is a gradual increase in fever, digestive and nervous disorders (headache, insomnia, dizziness), during the first week of illness.
– Diarrhea is the dominant symptom during the second week. It is accompanied by high fever, between 39 ° C and 40 ° C, severe weakness and delirium.
– The severity of the disease depends on the risk of release into the circulating blood of bacterial endotoxins responsible for severe heart (myocarditis, cardiovascular collapse), digestive (intestinal perforation and bleeding) and neurological (encephalitis) disorders.
Complications of typhoid fever
- – stomatitis; mumps; phlegmon of the buccal floor.
– intestinal perforation
– acute surgical abdomen
– hiccups, vomiting, weak pulse
– gastrointestinal bleeding
– toxic myocarditis
– pericarditis
– arteritis
– thrombophlebitis
– toxic hepatitis
– pneumonia
– pleurisy
– lung abscess
– encephalitis
– mielită
– pyelonephritis
– prostatitis
How typhoid fever spreads in the body
Typical bacilli reach the digestive tract, multiply and invade the body through the lymphatic formations (mesenteric ganglia), then into the bloodstream and determine the typhoid state.
How to diagnose and treat typhoid fever
Diagnosis is based on finding the bacillus by blood culture or coproculture (seeding blood and faecal samples on the culture medium).
Treatment consists of administering antibiotics for 10-15 days. It is associated with proper hydration and plenty of rest.
Sources of infection
The sources of Salmonella typhi infection are: patients with typhoid fever, asymptomatic bacillus carriers, temporary carriers (eliminates the bacillus in three months), chronic carriers (eliminates the bacillus in a few years). It should be noted that the bacterium is transmitted through feces, urine, biliary secretions or pus. Typhoid fever causes strong immunity, but if reinfected with massive doses, the disease can recur.
On Tuesday evening, a 62-year-old Romanian, who arrived from Guinea on a Turkish Airlines Istanbul-Bucharest plane, was admitted to the “Victor Babeș” infectious disease hospital with suspicion of typhoid fever. The man was provided with biological samples that were sent to the Cantacuzino Institute to confirm or not the diagnosis of typhoid fever. According to doctors, the man is very weak.
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