Typhoid Fever Flashcards
What is another name for typhoid fever?
Enteric fever
What organism causes typhoid fever?
Salmonella typhi
How is typhoid fever transmitted?
Food and water contaminated with urine or faeces of carrier
What are risk factors for typhoid fever?
Poor sanitation and hygiene
How does typhoid fever present?
- Continuous fever
- Rose spots (macular rash) across the trunk
- Systemic upset
- Constipation more than diarrhoea
- Hepatosplenomegaly
How does the fever present in typhoid fever?
It increases in a stepladder fashion
What systemic upset can occur in typhoid fever?
Fever (pyrexia)
Malaise
Abdominal pain
Bradycardia
How is typhoid fever diagnosed?
Widal test
Bloods
What would you in a widal test?
Antibodies against salmonella typhi
What results would you get from the bloods?
Leukopenia
What is the management of typhoid fever?
IV fluids
Quinolones- Ciprofloxacin
What broad spectrum antibiotic can be used to treat typhoid fever?
Ceftriaxone
What are possible complications of typhoid fever?
- Pericarditis
- Pneumonitis
- Meningitis
- Psychosis