Typhoid fever pathophysiology: Difference between revisions
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== Pathophysiology == | == Pathophysiology == | ||
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{{Familytree|boxstyle=width: 300px; text-align: left; background: #FFF0F5| | | | A01 | | | |A01= '''Innoculation''' | {{Familytree|boxstyle=width: 300px; text-align: left; background: #FFF0F5| | | | A01 | | | |A01= '''Innoculation''' | ||
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{{Familytree|boxstyle=width: 300px; text-align: left;| | | | B01 | | | |B01='''Gastrointestinal Infection''' | {{Familytree|boxstyle=width: 300px; text-align: left;background: #FFF0F5| | | | B01 | | | |B01='''Gastrointestinal Infection''' | ||
'''''Stomach''''' | '''''Stomach''''' | ||
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*Internalisation in M cells | *Internalisation in M cells | ||
*Translocation to underlying lymphoid tissue and draining lymph nodes | *Translocation to underlying lymphoid tissue and draining lymph nodes | ||
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{{Familytree|boxstyle=width: 300px; text-align: left;background: #FFF0F5| | | |B01| | | |B01= '''Systemic spread''' | |||
*Dissemination of ''[[S.typhi]]'' to reticuloendothelial system | |||
*Spreads via lymph and blood | |||
*Replication within reticuloendothelial system | |||
*Evades immune system | |||
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{{ | {{Familytree|boxstyle=width: 300px; text-align: left;background: #FFF0F5 | | | |B01| | | |B01= '''Chronic carrier state''' | ||
*Resides and multiplies in gall bladder | |||
*Excretion in urine and stool}} | |||
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Revision as of 20:44, 30 August 2016
Typhoid fever Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pathophysiology
Innoculation
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Gastrointestinal Infection
Stomach
Small intestine
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Systemic spread
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Chronic carrier state
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Heterozygous advantage
It is thought that cystic fibrosis may have risen to its present levels (1 in 1600 in UK) due to the heterozygous advantage that it confers against typhoid fever. The CFTR protein is present in both the lungs and the intestinal epithelium, and the mutant cystic fibrosis form of the CFTR protein prevents entry of the typhoid bacterium into the body through the intestinal epithelium.