160 - Salmonellosis Flashcards
Factors that make the stomach less __, increase the risk for salmonella infection. Such factors include: 4
acidic age <1 IBD GI surgery cytotoxic treatment
Patients in the incubation period are __. This period lasts for - days
asymptomatic
10-14
Typhoid Enteric fever is a __ disease with symptoms such as: __,__.
systemic
abdominal pain
fever
Typhus is caused by bacteria such as __ but not salmonella.
rickettsia
Enteric fever is a misnomer since although __% suffer from fever, only __% suffer from abdominal pain.
75
30-40
Enteric fever symptoms include: 5
headache chilis cough night sweat GI symptoms
Early signs for enteric fever will shoe “__” rash, __, __, and __ together with high __
rose spots hepatosplenomegaly epistaxis bradycardia fever
Rose spots = __
salmon color spots, mainly on the back and chest
In severe enteric salmonella other symptoms will occur: bloody __, intestine __, polymicrobial __.
diarrhea
perforation
peritonitis
Neurological symptoms are also possible: 3
Guillain Barre syndrome
neuritis
neuropsychiatric syndromes
Since the presentation of salmonella is nonspecific- we must suspect every __ with __, especially after having been in __ Asia/ __
traveler
fever
south east
south America
The only diagnostic tool is __
culture
Treating enteric fever is done with ___ as long as the pathogen is sensitive.
fluoroquinolones
Other lines of treatment for enteric fever include: 3
ceftriaxone
azithromycin
Prevention exist in the form of __
vaccine