ENTERIC FEVER
Enteric fevers include typhoid fever caused by Salmonella typhi (or known as Salmonella enterica serovar Typhi)
The incubation period of typhoid fever is about 10–14 days
These organisms are transmitted by faecal-oral route, usually by carriers, often food handlers, through contaminated food milk water
Clinical Features
The disease usually presents with fever associated with headache, malaise and chills.
temperature to 40-41°C ("step-ladder" pattern) is seen in some cases.
Early intestinal manifestations include constipation, especially in adults or mild diarrhoea in childs
The characteristic rose spots or "rose-red spots" may be seen on the chest and abdomen during the Ist week
Intestinal complications may occur in the 3rd or 4th week of illness.
treatment --------
general bed rest fluids intake
antibiotics therapy
amoxicillin
ciprofloxqcin
cefixime
azithromycine
aztreonam
prevention -------
good hygiene
proper sewage
proper disposibel
drink clean water
vaccine ty21a live attenuated for s.typhe
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