Enteric Fever (typhoid/paratyphoid)

Question 1

Organisms causing Typhoid/Paratyphoid

Answer 1

Salmonella typhi and Salmonella paratyphi (types A, B & C)

Question 2

how is Typhoid spread?

Answer 2

faecal-oral route

(and in contaminated food and water)

Question 3

Clinical features of typhoid/paratyphoid

Answer 3

• systemic upset
• bradycardia
• abdominal pain/distension
• constipation
• rose spots: present on the trunk in 40%

Question 4

Are Rose spots more commonly seen in typhoid or paratyphoid?

Answer 4

Paratyphoid

Question 5

Possible complications of typhoid/paratyphoid

Answer 5

• osteomyelitis
• GI bleed/perforation
• meningitis
• cholecystitis
• chronic carrier of infection