Typhoid fever history and symptoms: Difference between revisions
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*[[Rhonchi]] in lung bases. | *[[Rhonchi]] in lung bases. | ||
*Painful abdomen(right lower quadrant). | *Painful abdomen(right lower quadrant). | ||
*Diarrhea (six to eight stools/day), green with a characteristic smell, comparable to pea-soup. | *Diarrhea (six to eight stools/day), green with a characteristic smell, comparable to pea-soup.<ref name="pmid1899554">{{cite journal| author=Gotuzzo E, Frisancho O, Sanchez J, Liendo G, Carrillo C, Black RE et al.| title=Association between the acquired immunodeficiency syndrome and infection with Salmonella typhi or Salmonella paratyphi in an endemic typhoid area. | journal=Arch Intern Med | year= 1991 | volume= 151 | issue= 2 | pages= 381-2 | pmid=1899554 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1899554 }} </ref> | ||
*Constipation | *Constipation | ||
'''Third week''' | '''Third week''' | ||
*Intestinal hemorrhage | *Intestinal hemorrhage | ||
*Intestinal perforation in distal [[ileum]](Fatal) | *Intestinal perforation in distal [[ileum]](Fatal) | ||
*[[septicaemia]] or diffuse [[peritonitis]] | *[[septicaemia]] or diffuse [[peritonitis]]<ref name="pmid6361558">{{cite journal| author=Hoffman SL, Punjabi NH, Kumala S, Moechtar MA, Pulungsih SP, Rivai AR et al.| title=Reduction of mortality in chloramphenicol-treated severe typhoid fever by high-dose dexamethasone. | journal=N Engl J Med | year= 1984 | volume= 310 | issue= 2 | pages= 82-8 | pmid=6361558 | doi=10.1056/NEJM198401123100203 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6361558 }} </ref> | ||
*[[Encephalitis]] | *[[Encephalitis]] | ||
*Metastatic abscesses | *Metastatic abscesses | ||
Line 45: | Line 45: | ||
*[[Endocarditis]] | *[[Endocarditis]] | ||
*Osteitis | *Osteitis | ||
*Defervescence | *Defervescence | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Revision as of 13:20, 29 August 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
History
Symptoms
Symptoms of typhoid fever include the following:
Most common symptoms
- Stepledder increase in temperature initially and than sustained fever as high as 40°C (104°F)[1]
- profuse sweating
- gastroenteritis
- diarrhea
Less common symptoms
Course of typhoid fever
Typhoid fever symptoms can be divided into four individual stages, each lasting approximately one week.
First week
- Slowly rising temperature with relative bradycardia,
- malaise
- headache
- cough.
- Epistaxis
- abdominal pain
Second week
- Prostration
- High grade fever which plateaus around 40°C
- Bradycardia (Sphygmo-thermic dissociation), classically with a dicrotic pulse wave.
- Delirium or agitation (nervous fever)
- Rose spots on the lower chest and abdomen(1/3 patients).
- Rhonchi in lung bases.
- Painful abdomen(right lower quadrant).
- Diarrhea (six to eight stools/day), green with a characteristic smell, comparable to pea-soup.[3]
- Constipation
Third week
- Intestinal hemorrhage
- Intestinal perforation in distal ileum(Fatal)
- septicaemia or diffuse peritonitis[4]
- Encephalitis
- Metastatic abscesses
- Cholecystitis
- Endocarditis
- Osteitis
- Defervescence
References
- ↑ STUART BM, PULLEN RL (1946). "Typhoid; clinical analysis of 360 cases". Arch Intern Med (Chic). 78 (6): 629–61. PMID 20278487.
- ↑ "CDC Typhoid Fever". Center for Disease Control. 2005-10-25. Retrieved 2007-10-02.
- ↑ Gotuzzo E, Frisancho O, Sanchez J, Liendo G, Carrillo C, Black RE; et al. (1991). "Association between the acquired immunodeficiency syndrome and infection with Salmonella typhi or Salmonella paratyphi in an endemic typhoid area". Arch Intern Med. 151 (2): 381–2. PMID 1899554.
- ↑ Hoffman SL, Punjabi NH, Kumala S, Moechtar MA, Pulungsih SP, Rivai AR; et al. (1984). "Reduction of mortality in chloramphenicol-treated severe typhoid fever by high-dose dexamethasone". N Engl J Med. 310 (2): 82–8. doi:10.1056/NEJM198401123100203. PMID 6361558.